目的评价多种血管内栓塞方法对颅内动脉瘤的治疗效果。方法88例颅内动脉瘤中,56例给予电解可脱式微弹簧圈(GDC)栓塞治疗,12例行微弹簧圈栓塞治疗,7例行可脱性球囊栓塞治疗,6例行动脉支架结合GDC栓塞治疗,4例行机械可脱式微弹簧圈(MDS)栓塞治疗,3例行球囊辅助结合GDC栓塞治疗。结果88例全部治愈。1例在GDC栓塞术后出现一过性失语及肢体瘫痪,经内科治疗后,24小时恢复正常。1例微弹簧圈栓塞术后出现对侧肢体肌力1-2级,经治疗后,3个月恢复正常,随访2年无复发。结论GDC是目前血管内栓塞动脉瘤的首选方法;对宽颈口或梭形动脉瘤,可应用球囊结合GDC或动脉支架结合GDC栓塞治疗。 Objective To evaluate the therapeutic effect of multiple intravascular embolization on intracranial aneurysms. Methods 88 cases of intracranial aneurysms, 56 cases were treated with electrolytic detachable micro-coil (GDC) embolization, 12 cases were treated with coil embolization, 7 cases of removable balloon embolization, 6 cases of arterial stent combined GDC embolization, 4 cases of mechanical detachable micro-coil (MDS) embolization, 3 cases of balloon-assisted GDC embolization. Results 88 cases were all cured. One case had transient aphasia and limb paralysis after GDC embolization, and returned to normal 24 hours after medical treatment. One case of micro-coil embolization occurred contralateral limb muscle 1-2, after treatment, 3 months returned to normal, no follow-up of 2 years of recurrence. Conclusion GDC is the preferred method for endovascular embolization of aneurysms. For wide-necked or fusiform aneurysms, balloon-GDC or arterial stenting combined with GDC can be applied.