(博罗县人民医院外二科广东博罗516100)【摘要】目的：探讨经外侧裂入路小骨瓣显微手术治疗基底节区高血压性脑出血的临床效果。方法：通过对本院2006年1月-2011年1月65例基底节区高血压性脑出血患者在发病7小时内行小骨瓣显微手术清除颅内血肿。结果：所有患者在清除血肿后3小时、5小时分别行颅脑CT检查，发现血肿清除率为90%，无发现再出血病例。术后3个月患者日常生活活动能力(ADL)分级为：I级10例，II级28例，III级9例，IV级6例，V级4例，死亡6例。结论：经外侧裂入路小骨瓣显微手术治疗基底节区高血压性脑出血有理想的疗效，临床上建议进一步推广。【关键词】高血压性脑出血;外侧裂;基底节区;小骨瓣;显微手术【中国分类号】R471.3 【文献标识码】A【文章编号】1004-5511(2012)04-0196-01 【Abstract 】Objective: investigate the lateral fissure approach for small bone flap microsurgery operation treatment of hypertensive basal ganglia intracerebral hemorrhage. Method: through the years2006 January - 2011 January, 65 cases of hypertensive basal ganglia intracerebral hemorrhage patients at the onset of 7 hour professional small bone flap microsurgical operation of intracranial hematoma. Results: all the patients in the removal of the hematoma after 3 hours, 5 hours respectively CT examination of brain, and found that the hematoma clearance rate was 90%, found no bleeding cases. 3 months postoperatively in patients with activities of daily living ( ADL ) classification: class I in 10 cases, II 28 cases, III 9 cases, IV 6 cases, V 4 cases, 6 cases of death. Conclusion: through lateral fissure approach for small bone flap microsurgery operation treatment of hypertensive basal ganglia intracerebral hemorrhage with ideal curative effect, clinical recommendati分类号：R651.1 ons for further extension.【 Key words】Hypertensive cerebral hemorrhage ......