Objective To compary the clinical effects of stereotactic soft-tunnel minimally invasive surgery and key-hole craniectomy in the treatment of hypertensive cerebral hemorrhage. Methods 86 cases of hypertensive cerebral hemorrhage were divided into observayipn group and control group, Stereotactic soft-tunnel minimally invasive surgery was applied, key-hole craniectomy was applied in control group, thereutic effects were compared. Results There were no significant difference between the groups 2 week postoperatively;the total effective rate and Barthen scaring of the observation group were higher that those of the control group(P<0.05). The intraoperative bleeding and hospital stay were less in the observation group than in the control group(P<0.05). There were no statistical difference in the operation time between the two groups. Conclusions The stereotactic soft-tunnel minimally invasive surgery is effect for the hematoma clearance with minimal invasiveness. Key words Stereotactic soft-tunnel minimally invasive surgery.%目的：比较定向软通道微创救治高血压脑出血技术与小骨窗开颅手术治疗高血压脑出血的临床效果。方法86例高血压脑出血患者随机分为观察组和对照组，观察组采用定向软通道微创技术，对照组采用小骨窗开颅手术治疗，分析两种手术方法的治疗效果。结果术后2周两组死亡率差异无统计学意义；观察组术后2周的总有效率和术后4周Barthel评分优于对照组（P<0.05）；观察组术中出血量、住院时间少于对照组（P<0.05）；两组手术时间差异无统计学意义。结论定向软通道微创技术治疗高血压脑出血，血肿清除效果好、损伤小、有利于患者康复。
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