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[目的]分析104例颅内破裂动脉瘤手术病例临床资料，对动脉瘤的诊断方法、手术时机、术中操作技巧等方面进行探讨。[方法]104例经CT血管成像（CTA）和数字减影血管造影（DSA）检查明确的颅内破裂动脉瘤患者均经翼点入路行动脉瘤夹闭术，其中早期手术85例，间期手术19例。[结果]104例行动脉瘤闭夹的患者中，20例因脑肿胀而行去骨瓣减压。术后随访半年，良好85例，预后不良19例。[结论]DSA检查仍是动脉瘤诊断的金标准，但目前CTA技术已能基本满足动脉瘤诊断及术前检查需要。早期手术治疗，常规的翼点入路及娴熟的手术操作技巧，能有效提高动脉瘤病人存活率，降低致残率。“,”[Objective] To analyze clinical data of 104 patients with ruptured intracranial aneurysm (ICA) with surgical operation ,and to explore the diagnostic method ,operation opportunity and surgical techniques .[Methods] Totally 104 patients with ICA confirmed by CT angiography (CTA) and digital subtraction angiog-raphy(DSA) underwent aneurysm clipping via pterional approach .Among them ,85 patients underwent early operation and 19 patients underwent interval operation .[Results] Of 104 patients undergoing aneurysm clip-ping ,20 patients underwent decompressive craniectomy due to brain swelling .During the follow up for 6 months ,85 patients were good and 19 patients were poor prognosis .[Conclusion]DSA is the gold diagnosis standard of ICA ,but CTA can basically meet the demand for the diagnosis and preoperative examination of ICA at present .The early surgery ,conventional pterional approach and skillful surgical techniques can effec-tively improve the survival rate and decrease the disability of ICA patients .