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[Abstract]Objective：Evaluation of intracranial hematoma minimally invasive surgery in

the treatment of hypertensive intracerebral hemorrhage。Methods: 87 cases, severe hypertensive cerebral hemorrhage were randomly divided into two groups: group A (43 cases of minimally invasive treatment group), group B (treatment group) 44 cases, group A with minimally invasive hematoma, B group only received conservative therapy, and the clinical curative effect of two groups. Results: (1) in group A the effective rate of 62.5%, and the effective rate of 40.5% were significantly higher than that in B group 36.5%, 20.5% (P<0.05), and A mortality rate (25.6%) was significantly lower than in group B (54.5%) (P<0.01); (2) in group A hematoma absorption rate (15.1 ± 3.4) and significantly faster than the B group (35.3 ± 5.2) days) (P ≤ 0.01); (3) was higher than that of group B recovered 15 days A group of nerve function defect before and after the treatment, (P ≤ 0.05). Conclusions: minimally invasive treatment of intracranial hematoma in hypertensive cerebral hemorrhage compared with conservative treatment effect is good, and can

significantly improve the curative effect, reduce the mortality rate, shorten the hematoma absorption time, promote the recovery of neural function.

[Keyword] minimally invasive intracranial hematoma; treatment; hypertensive cerebral hemorrhage. 1. Indication

Good command of intracranial hematoma microinvasive puncturatio evacuation (hereinafter referred to as minimally invasive surgery operation indications for treatment) whether successful crucial. Traumatic intracranial hematoma minimally invasive surgery operation indications and routine craniotomy is not completely consistent, the need for screening in the case. The general principle for the puncture site condition is stable, spinal subdural, intracerebral hematoma, no depressed skull fractures and severe contusion and laceration of brain injured, as to the case of minimally invasive surgery minimally invasive operation. In addition, minimally invasive surgery is particularly suitable for the frail elderly, children patients. 30ml following epidural hematoma if conservative treatment is the course of a long, line of minimally invasive operation can shorten the course of disease, and can greatly reduce the pain of patients; minimally invasive surgery is also suitable for multiple intracranial, delayed, chronic hematoma. For multiple hematomas, if hematoma located in the skull on both sides, because the cause of bilateral pressure offset midline shift can't significantly (pressure balance) therefore may allow some time to let the liquid agent has sufficient time to dissolve blood clots, complete clearance of hematoma in treatment of bilateral. In addition, for one major hematoma underwent craniotomy after operation, the contralateral hematoma minimally invasive surgery secondary line, a line of bilateral craniotomy more beneficial for patients with [1]. After craniotomy with small

hematoma or residual hematoma can also be used as a minimally invasive surgery in the treatment of pointers. Minimally invasive surgery is also relieved the brain herniation or temporarily relieved the brain herniation cases, but to progress rapidly or dural brain


hernia or intracerebral hematoma minimally invasive as the best [1] emergency measures before craniotomy operation, so that we can win time for surgical operation, so as to improve the success rate of rescue.

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