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Objective: To compare craniotomy clipping and Interventional embolization of the internal carotid artery . Advantages and disadvantages of the posterior communicating artery aneurysm . Method :: Recalling the First Affiliated Hospital of Guangxi Medical University, March 2005 - January neurosurgery admitted 42 patients with complete data of the internal carotid artery - posterior communicating artery aneurysm patients , divided into two groups: surgery group, 17 patients intervention group ( 25 cases ) , record their information : age, gender , SAH date of onset of bleeding times , DSA date and the results of preoperative Hunt-Hess grade , date of treatment, discharge GOS, cost of hospitalization , surgery time , with or without postoperative neck remnants after surgery without complications , and were followed up for 3 to 45 months results. T-test , x2 test , exact test , rank sum test statistical methods . Results: The operative treatment of 17 , discharged a good recovery in 9 cases ( 52.94% ) , 2 patients died (11.76 %) . Embolization group treatment of 25 cases , discharged a good recovery in 15 cases (60 %) , death in 2 cases ( 8%) , the results show that the discharge was no statistical difference between the two groups in postoperative mortality ( exact test p > 0.1 ) . the two groups in the degree of recovery after discharge there is a statistically significant difference ( rank sum test , p <0.05 ) , two groups exist on the cost of hospitalization , surgery and postoperative hospitalization days was statistically significant ( T - test, P < 0.05 ) ; two groups in the rate of postoperative residual aneurysm neck there is a statistically significant ( exact test , P <0.01 ) ; two groups in the incidence of postoperative complications , there is a statistically significant ( exact test , P <0.01 ) . Conclusion: The internal carotid artery - posterior communicating artery aneurysm interventional treatment shorter postoperative hospital stay , rapid postoperative recovery , the degree of recovery at discharge , operation in surgery a short time , a low incidence of postoperative complications , but the high cost of hospitalization , postoperative the remnants of the aneurysm neck high hospitalization costs ; craniotomy clipping treatment , postoperative residual aneurysm neck is low , but the postoperative hospital stay a long time , postoperative recovery was slow , the degree of recovery at discharge , long operating time intraoperative , postoperative disease occurrence rate .
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