Objective To investigate the status of post-traumatic stress disorder （PTSD） in patients with recurrent intracranial aneurysms after interventional embolization and to discuss its influencing factors. Methods A total of 290 patients with recurrent intracranial aneurysms after interventional embolization who received therapy in the First Hospital Affiliated to Xinjiang Medical University from January 2019 to January 2021 were selected as the research objects. The PTSD status was evaluated by Post-traumatic Stress Disorder Self-rating Scale （PTSD-SS）， and the total score and incidence of PTSD were counted. Pittsburgh Sleep Quality Index （PSQI） and General Quality of Life-74 （GQOLI-74） were used to evaluate the sleep quality and quality of life. Pearson correlation analysis was used to analyze the correlation between the total PTSD-SS score， the total PSQI score， and the total GQOLI-74 score. Binary logistic regression was used to analyze the influencing factors of PTSD in patients with recurrent intracranial aneurysms after interventional embolization. Results The total PTSD score of patients with recurrent intracranial aneurysms after interventional embolization was 44.00 （41.00， 49.00） points， and the incidence of PTSD was 24.8% （72/290）. The total PTSD-SS score was positively correlated with the total PSQI score （r=0.418） and negatively correlated with the total GQOLI-74 score （r=-0.466）. The differences were both statistically significant （both P ＜ 0.05）. Binary logistic regression analysis showed that age less than 60 years old， no spouse， family monthly income less than or equal to 10 000 yuan， combined anxiety， low level of social support and large aneurysm recurrence were the risk factors for PTSD in patients with recurrent intracranial aneurysms after interventional embolization （OR=17.346，2.447，3.740，4.981， 2.554，5.004； all P＜ 0.05）. Conclusions Patients with recurrent intracranial aneurysms after interventional embolization have a high incidence of PTSD， which is related to sleep quality and quality of life. Age less than 60 years old， no spouse， family monthly income less than or equal to 10 000， combined anxiety， low level of social support and large aneurysm recurrence are the risk factors of PTSD in patients with recurrent intracranial aneurysm after interventional embolization.