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[目的]观察小骨窗开颅手术治疗高血压脑出血的临床疗效。[方法]2011年7月至2013年3月收治的100例高血压脑出血患者分为观察组（ n ＝50）和对照组（ n＝50），观察组患者采用小骨窗开颅手术治疗，对照组患者采用常规骨瓣开颅术治疗。[结果]观察组的手术时间、住院时间、并发症率、疗效和预后均显著优于对照组（P ＜0．05），但是两组患者的血肿清除率和再出血率无统计学差异（P ＞0．05）。[结论]小骨窗开颅术治疗高血压脑出血疗效确切，创伤小、并发症少，值得临床推广运用。“,”[Objective] To observe the clinical efficacy of small bone window craniotomy for the treatment of hypertensive intracerebral hemorrhage .[Methods]Totally 100 patients with hypertensive intracerebral hem-orrhage in our hospital from July 2011 to March 2013 were divided into observation group( n=50) and control group( n=50) .The observation group underwent small bone window craniotomy ,while the control group un-derwent standard craniotomy .[Results] The operation time ,hospitalization time ,complication rate ,curative effect and prognosis in the observation group were significantly better than those in the control group ( P 0 .05) .[Conclusion]Small bone window craniotomy for the treatment of hypertensive intracere-bral hemorrhage has definite efficacy with little trauma and complications ,so it is worthy of clinical promotion .