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目的：寻找一种针对高血压脑出血不规则形血肿的有效治疗方法。方法：对146例高血压脑出血不规则形血肿中78例患者按15～30ml左右的血肿量，将血肿近似平分为2～4等分，每一等分中心设计一个靶点，行立体定向血肿排空术治疗。结果：多靶点立体定向血肿排空术与单靶点治疗组患者术后血肿清除时间分别为（2.8±1.4）d，（5.8±3.2）d，有显著性差异（P＜0.05），多靶点立体定向血肿排空术治疗高血压脑出血不规则形血肿预后（Activity of daily living,ADL）优于单靶点组（P＜0.05）。结论：多靶点立体定向血肿排空术治疗高血压脑出血不规则形血肿手术创伤小，血肿溶解，排出进度加快，能明显改善患者预后。“,”ObjectiveTo search for an effective way to cure irregular hematoma cased by hypertension. Method 146 patients were operated through stereotactic catheterization,randomly selected 78 individuals,average hematoma was divided into 2-4 parts according to each 15-30ml,design a target each sub-center.ResultsThe mean drainaging time were 2.8±1.4d in patients with mutiple target approaches, which were markedly different from that in sigle target group(5.8±3.2d).ConclusionDrainage by stereotactic multiple-target catheterization for irregular hematoma is a superior method which has been proved to be accurate,effective,and with minimal trauma to the patient.