颅外颈动脉瘤(CCA)虽然少见,但治疗仍面临挑战。该文旨在分析20年间颈动脉瘤治疗进展及临床效果。方法：对1984～2004年间接受治疗的CCA患者进行回顾。患者被分为2组：第1组为1985～1994年间就诊者,第2组为1995～2004年间就诊者,对疾病的临床表现、治疗并发症及临床效果进行比较。结果：共42例患者被纳入研究范围,第1组22例,第2组20例。颈部搏动性肿块为其最常见的临床表现 Extracranial carotid aneurysms (CCA) are rare but treatment is still challenging. The purpose of this paper is to analyze the progress and clinical effect of carotid aneurysm in 20 years. Methods: CCA patients treated between 1984 and 2004 were reviewed. Patients were divided into two groups: group 1 was treated between 1985 and 1994, group 2 was treated between 1995 and 2004, and the clinical manifestations, treatment complications and clinical effects were compared. Results: A total of 42 patients were included in the study, 22 cases in group 1 and 20 cases in group 2. Neck pulsatile mass is its most common clinical manifestations