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目的：比较立体定向血肿穿刺抽吸术与开颅血肿清除术治疗高血压脑出血的临床疗效。方法将我院82例高血压脑出血患者随机分为立体定向血肿穿刺抽吸术治疗组(观察组)与开颅血肿清除术治疗组(对照组)，每组各41例，比较两组患者的临床疗效以及术后并发症情况。结果观察组患者治疗总有效率为92.7%，明显高于对照组患者的75.6%，组间差异有统计学意义(<0.05)。两组患者术后并发症发生率之间的差异无统计学意义(跃0.05)。结论立体定向血肿穿刺抽吸术治疗高血压脑出血的临床疗效优于开颅血肿清除术，且安全性较高。“,”Objective To compare the clinical ef ect of stereotactic invasive hematoma aspiration and craniotomy in treatment of hypertensive cerebral hemor hage.Methods 82 cases of hypertensive cerebral hemorrhage were randomly divided into stereotactic invasive hematoma aspiration treatment group (observation group)and craniotomy treatment group (control group),41 cases in each group, compared the clinical ef ect and postoperative complications.Results The total ef ective rate of cases in observation group was 92.7%,significantly higher than that in control group (75.6%),there was significant dif erence between two groups ( 0.05).Conclusion Stereotactic hematoma aspiration in treatment of hypertensive cerebral hemor hage has bet er clinical ef ect than craniotomy treatment,and has high safety.