颅内动脉瘤性蛛网膜下腔出血的治疗

动脉瘤性蛛网膜下腔出血（aneurysmal subarachnoid hemorrhage， aSAH）是一种具有高致残率、高致死率的急性出血性脑血管病。目前治疗aSAH的外科手术方式主要包括开颅夹闭术及血管内介入栓塞术。两种手术方式各有其优缺点，目前根据动脉瘤瘤体形状、直径、位置及瘤颈大小等因素选择具体术式，但临床具体选择尚有争议。本综述通过回顾相关文献，对目前关于aSAH不同治疗方式及其疗效进行综合性阐述。

Treatments of aneurysmal subarachnoid hemorrhage

Aneurysmal subarachnoid hemorrhage (aSAH) is a kind of acute hemorrhagic cerebrovascular disease with high morbidity and mortality. Surgical clipping and endovascular coiling are the two most common treatments for aSAH, both of which have their respective advantages and disadvantages. To date, the choice of surgical method is based on the shape, diameter, location and the neck size of the aneurysms, but there still exists controvesy in specific clinical choice. Through looking back on related documents, this review aims to expound comprehensively on the different treatment methods of aSAH and their respective effects.