目的 探讨CT定位颅内血肿微创 清除术治疗高血压脑出血的临床疗效。 方法 将122例高龄高血压脑出血患者按 照治疗方式分为对照组(n=59)与观察组 (n=63)，对照组采用内科保守治疗，观 察组采用CT定位颅内血肿微创清除术治 疗；比较两组临床疗效、ADL评分情况、 治疗前后血肿量、治疗前后GCS评分及CSS 评分。结果 (1)经治后观察组临床总有效 率为88.89%，显著高于对照组(74.38%)(P ＜0.05)；(2)观察组治疗后ADL评分为I级 患者的比例显著高于对照组(P＜0.05)； (3)两组治疗后血肿量均显著小于治疗 前，且观察组治疗后血肿量显著小于对照 组治疗后(P＜0.05)；(4)两组治疗后GCS 及CSS评分均显著高于治疗前，且观察组 治疗后上述评分均显著对照组治疗后(P ＜0.05)。结论 CT定位颅内血肿微创清除 术治疗高龄高血压脑出血的临床疗效显 著，应加以推广及应用。

Objective To investigate the clinical efficacy of CT localization of intracranial hematoma minimally invasive surgery for the treatment of hypertensive cerebral hemorrhage. Methods 122 cases of elderly patients with cerebral hemorrhage were randomly divided into the control group(n=59) and the observation group (n = 63) according to the method of treatment. The control group were given conservative treatment, and the observation group were given CT positioning minimally invasive surgery for the treatment of intracranial hematoma. The clinical efficacy, ADL score, the hematoma volume before and after treatment, after treatment GCS score and CSS scores were compared. Results (1) After treatment, the total effective rate of observation group was 88.89%, significantly higher (74.38%) (P<0.05)than the contrao group; (2) the observation group therapy for stage I ADL score was significantly higher than the proportion of patients in the control group (P<0.05); (3) after treatment hematoma were significantly less than before treatment, hematoma after treatment and observation group was significantly lower than in the control group (P<0.05); (4) after treatment GCS and CSS scores were significantly higher than before treatment, group therapy and observation scores were significantly above the control group after treatment (P<0.05). Conclusion The clinical efficacy of CT localization of intracranial hematoma minimally invasive treatment of elderly hypertensive cerebral hemorrhage was significant, and could be promoted and applied.