Objective To analyze the application value of CT imaging examination in evaluating the prognosis of patients undergoing cerebral hemorrhage operation. Methods The clinical data of 76 patients with cerebral hemorrhage who underwent surgical treatment in our hospital from February 2011 to December 2014 were analyzed retrospectively. All patients underwent CT examination before operation. After operation, all patients were followed up for 6 months and data were complete. The correlation between CT imaging findings and prognosis of patients with cerebral hemorrhage was analyzed. Results There were 47 cases with good prognosis and 29 cases with poor prognosis in the study; Multivariate analysis confirmed that bleeding volume ≥30ml, hematoma broken into ventricle, midline shift > 10mm, operative mode, operative timing, state of consciousness and postoperative rebleeding were independent risk factors affecting the prognosis of patients with cerebral hemorrhage. Conclusion To perform CT screening in patients with cerebral hemorrhage before operation to make clear imaging findings is conductive to early intervention for patients with risk factors and control of risk factors. It can improve the prognosis.