目的 为了更好的研究微创与开颅手术在脑出血治疗当中的疗效。方法 选取我院2016年2月-2017年2月收治的脑出 血患者96例作为研究对象，随机平均分为两组，观察组和对照组，各48例，对照组采用开颅手术，观察组使用微创 手术。比较两组的治疗疗效和并发症出现率、再出血率情况。结果 观察组的治疗总有效率为93.75%（45/48），对 照组的治疗总有效率为72.92%（35/48），两组差异具有统计学意义（P＜0.05）；观察组并发症发生率为10.42% （5/48），再出血率为8.33%（4/48）；均明显低于对照组的并发症发生率为20.83%（10/48），再出血发生率为 16.67%（8/48），两组差异明显具有统计学意义（P＜0.05）。结论 脑出血在治疗当中利用微创手术治疗效果更佳 理想，出现并发症以及再出血率相对较低，安全可靠，临床上值得推广使用。

Objective To investigate the clinic effect of minimally invasive surgery and craniotomy on treatment of hematencephalon. Methods 96 cases with hematencephalon in our hospital from February 2016 to February 2017 were selected and divided randomly into observation group and control group, 48 cases in each group. Control group was given craniotomy and observation group was given minimally invasive surgery. Treatment effect, complication rate, bleeding rate of the two groups were compared. Results Total effective rate of observation group and control group were 93.75%(45/48), 72.92%(35/48), the difference between groups was statistic significant (P<0.05), complication rate and bleeding rate of observation group 10.42%(5/48), 8.33%(4/48) were all significantly lower than control group 20.83%(10/48), 16.67%(8/48), the difference was statistic significant (P<0.05). Conclusion Minimally invasive surgery has better clinic effect on treatment of hematencephalon, complication rate and bleeding rate are lower, it is safe and reliable, and is wrothy of wide application.