目的　探讨微创手术治疗高血压脑出血的方法、适应证及其疗效。方法　比较两种微创手术及术后神经功能恢复情况及血肿清除情况。结果　两种方法均较安全 ,两组术后神经功能恢复有效率大于72 % ;3～ 5天血肿残余率除穿刺组 1例≤ 5 0 %外 ,其余病例均 <10 % ,穿刺组清除时间较碎吸组稍慢一些。结论　幕上血肿大于 2 5ml ,或中线结构移位大于 5mm都可考虑微创手术 ,特别适合高龄、心肺肝肾功能差、不能耐受或不愿手术者 ,疗效较好 Objective To investigate the methods, indications and curative effects of minimally invasive surgery for hypertensive intracerebral hemorrhage. Methods Two cases of minimally invasive surgery and postoperative neurological recovery and hematoma clearance were compared. Results Both of the two methods were safer. The effective rate of recovery of neurological function after operation was more than 72% in both groups. The residual rate of hematoma in 3 ~ 5 days was less than 10% in 1 case ≤ 50% in puncture group and <10% in puncture group Slightly slower than broken suction group. Conclusion The supratentorial hematoma is more than 25ml, or the midline structure is more than 5mm, the minimally invasive surgery may be considered. It is especially suitable for elderly patients with poor cardiopulmonary, hepatic and renal functions, patients who can not tolerate or who do not want surgery, and has good curative effect