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目的：探讨微创颅内血肿清除术治疗高血压脑出血的临床效果。方法：从2011年7月到2014年7月我院收治的86例高血压脑出血患者中按入院编号随机选取42例设为观察组，对患者采用微创颅内血肿清除术治疗，将另外44例患者设为对照组，给予常规开颅血肿清除术治疗。对比观察组和对照组患者的治疗效果。结果：观察组患者治疗14d，1个月、3个月后的神经功能缺损评分（NIHSS）和巴氏指数（BI）评分明显优于对照组，P＜0.05。观察组患者的有效率明显高于对照组，P＜0.05。观察组患者的并发症发生率和死亡率明显小于对照组，P＜0.05。结论：微创颅内血肿清除术治疗高血压性基底节区脑出血，能明显减少患者的并发症发生率和死亡率，改善患者临床症状，可推广应用。“,”Objective To explore the clinical effect of minimally invasive removal of intracerebral hematoma in patients with HICH. Results The NIHSS and BI scores of observation group were superior to that of control one 14d,1 month and 3 months after treatment, P < 0.05.The effective rate of the observation group was significantly higher than that of the control one,P < 0.05. The complication rate and mortality rate were significantly lower in the observation group than in the control one,P < 0.05.Conclusion minimally invasive intracerebral hematoma removal operation for HICH, can significantly reduce the incidence of complications and mortality, improve the clinical symptoms of patients, and can promote the application.