Abstract: Objective To evaluate the curative effect of neural endoscopic hematoma evacuation surgery and stereotactic aspiration surgery for hypertensive intracerebral hemorrhage. Methods One hundred and twenty cases of hypertensive intracerebral hemorrhage patients in the hospital were randomly divided into experimental group (n=60)and control group (n=60), experimental group was given CT-guided neural endoscopic surgery,control group stereotactic aspiration surgery.The curative effect was compared between two groups.Results The hematoma evacuation rate of experimental group was higher than that of control group,the incidence of pulmonary infection of experimental group was significantly lower than that of control group.At 3 d after operation,the average Glasgow coma scale of experimental group was significantly higher than that of control group;Glasgow outcome scale 12 months after surgery and barthel index 3,6, 1 2 months after surgery of experimental group were higher than those of control group (P<0.05).Conclusion Recent efficacy and long-term efficacy of endoscopic hematoma evacuation surgery for hypertensive cerebral hemorrhage are superior to those of stereotactic aspiration, which deserves populization in clinic.

Key words: intracranial hemorrhage, hypertensive, psychosurgery, treatment outcome