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目的：分析比较高血压基底节脑出血患者微创穿刺治疗与小骨窗侧裂入路显微手术治疗的疗效。方法：对2010～2012年住院的基底节脑出血患者62例，按随机数字表将62例中等量（30～60 ml）高血压基底节脑出血患者随机分为微创穿刺术组（30例）和小骨窗显微手术组（32例），观察2组患者的死亡率，评价2组患者日常生活活动能力（ADL）。结果：微创穿刺治疗组的病死率为13．3％，小骨窗显微手术组的病死率为15．6％，P＞0．05；微创穿刺治疗组的生活能力在日常生活能力表（ ADL）评估为Ⅰ～Ⅲ级者为60．0％，小骨窗显微手术组的生活能力在日常生活能力表评估为Ⅰ～Ⅲ级者为40．5％，P＜0．05。结论：微创穿刺治疗与小骨窗侧裂入路显微手术相比对基底节脑出血患者的病死率无显著差异，但患者的生存质量微创手术组明显优于显微开颅手术组。“,”Objective:To analyze and compare the curative effect of microsurgical operation in hypertension patients with cleft minimal -ly puncture and small bone window side cerebral hemorrhage in basal ganglia .Methods:From 2010 to 2012 in basal ganglia intracerebral hemorrhage in 62 cases, randomly 62 cases of moderate (30 ~60 ml) were randomly divided into minimally invasive group of hyperten-sive cerebral hemorrhage in basal ganglia ( 30 cases ) and microsurgery through small skull window operation group ( 32 cases ) , two groups were observed in patients with the mortality rate of patients in the two groups , the activity of daily living ability evaluation ( ADL) . Results:Minimally invasive puncture treatment group the mortality rate was 13.3%, the mortality of microsurgery through small skull win-dow operation group was 15.6%, P>0.05;minimally invasive treatment group living skills in daily life ability scale (ADL) assessment of grade Ⅰ ~Ⅲwas 60%, of microsurgery through small skull window operation group living in daily life ability scale evaluation ⅠtoⅢgrade was 40.5%, P<0.05.Conclusion:Minimally invasive puncture and small bone window transsylvian approach for microsurgical operation compared to the mortality in patients with intracerebral hemorrhage in the basal ganglia had no significant difference , but the quality of life of patients with minimally invasive operation group was better than the microscopic surgical operation group .