[摘 要] 目的 为进一步提高微创开颅手术治疗高血压脑出血的临床效果。 方法 回顾性分析63例超早期微创开颅手术治疗高血压脑出血患者的临床资料。 结果 63例中死亡7例，存活56例。术后6～23月随访，根据ADL分级法，Ⅰ级10例，Ⅱ级15例，Ⅲ级19例，Ⅳ级9例，Ⅴ级3例。 结论 手术效果令人满意。且本术式具有以下特点:①手术创伤小;②止血彻底;③手术入路解剖结构简单，易于掌握。

    [关键词] 高血压脑出血;微创手术

    Ultra-early minimally invasive craniotomy for hypertensive intracerebral hemorrhage

    AN Gui-qun，XU Shu-yuan，LIU Hong-liang

    (Department of Neurosurgery，Renhe Hospital，Shanghai200431，China)

    Abstract:Objective To improve the clinical effects of minimally invasive craniotomy for the treatment of hypertensive intracerebral hemor-rhage.Methods The clinical data from63patients with hypertensive intracerebral hemorrhage undergoing ultra-early minimally invasive craniotomy were analyzed retrospectively.Results A total of the63patients with hypertensive intracerebral hemorrhage，death and survival were found in7and56cases，respectively.A follow-up of6～23months was conducted.According to the activities of daily living(ADL)grading system ......