【摘要】目的：分析高血压脑出血(HCH)患者行内镜下微创手术的治疗效果。方法：选取我院2018年1月—2022年12月收治的60例HCH患者为例，依据随机投掷法两组各30例，参照组实施常规开颅血肿清除术，研究组实施神经内镜微创手术治疗，对比两组治疗效果。结果：研究组血肿清除率高于参照组(P>0.05)，研究组并发症发生率低于参照组(P<0.05)。术后3d，研究组血清血管生成素-1(Ang-1)、内皮素(ET)水平均低于参照组，脑源性神经营养因子(BDNF)平高于参照组(P<0.05)。结论：对HCH患者采取神经内镜微创手术治疗血肿清除率较好，临床应用安全性较好。

    【关键词】高血压脑出血；内镜下微创手术；开颅血肿清除术；血肿

    orrhage patients and its impact on hematoma clearance rate

    NI Ju， TAO Kaijian

    Neurosurgery， Xuyi Hospital of Traditional Chinese Medicine， Huai’an， Jiangsu 211700， China

    【Abstract】Objective： To analyze the therapeutic effect ofThe effect of endoscopic minimally invasive surgery on hypertensive intracerebral hem minimally invasive endoscopic surgery on hypertensive intracerebral hemorrhage (HCH) patients. Methods： Sixty patients with HCH admitted to our hospital from January 2018 to December 2022 were selected as examples. According to the random throwing method， 30 patients were randomly divided into two groups. The reference group received routine craniotomy for hematoma removal ......