Aim To investigate the clinical efficacy of microsurgical clipping and endovascular embolization in the treatment of aneurysmal subarachnoid hemorrhage(ASAH).Methods The clinical data of 138 AS AH patients were retrospectively ana-lyzed.Patients were divided into the embolization group(n=71)and the clipping group(n=67)according to different treatment methods.General and surgical information of patients,as well as complications since hospitalization,were collected,and their clini-cal neurological function at discharge and three months after discharge were evaluated.Results The surgical time,intraoperative bleeding,and hospital stay in the embolization group were shorter than those in the clamp group(P<0.05).The incidence of poor prognosis in the embolization group was lower than that in the clamp group at discharge(P<0.05).After 3 months of discharge,there was no significant difference in the incidence of poor prognosis between the two groups(P>0.05).The total incidence of pul-monary infection,intracranial infection,and complications in the clamp group was higher than that in the embolization group(P<0.05).Conclusion Microsurgical clipping and interventional embolization have good short-term efficacy in treating ASAH,but interventional embolization has shorter surgical time and hospital stay,less bleeding and fewer complications.