Abstract: Objective To discuss the clinical therapeutic effect and value of early endovascular embolism treatment for intracranial hunt-Hess grades III and grades IVaneurysms.Methods A retrospective analyse of 32 patients with 32 intracranial aneurysms were treated with microcoils in early period.Results Among 32 aneurysms, 22 aneurysms were completely occluded , 10 were partially occluded.In these patients,one case died after the embolization,4 cases had cerebral infarction and 6 cases had cerebral vasospasm,4 recurring cases were cured by the second microcoils embolization.Conclusion Early endovascular embolization with microcoils is a good choice for hunt-Hess grades III and grades IV aneurysms.

Key words: 【Key Words】 Intracramial aneurysm; Embolism

摘要： 目的 探讨早期血管内栓塞颅内Hunt－Hess分级Ⅲ-Ⅳ级动脉瘤的临床疗效及应用价值。方法 回顾性分析早期血管内栓塞治疗颅内动脉瘤32例的临床疗效。结果 完全栓塞22例，大部分栓塞10例。1例死亡，并发动脉瘤破裂3例、脑血管痉挛6例、缺血性卒中4例、4例再次栓塞后痊愈。结论 早期血管内栓塞是治疗颅内Hunt－Hess分级Ⅲ-Ⅳ级动脉瘤较理想方法。

关键词: 颅内动脉瘤; 栓塞