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目的：探讨高血压脑出血破入脑室的外科治疗方法。方法：采用骨瓣减压血肿清除术（２７例）和小骨窗血肿部分清除术结合重组链激酶溶解血肿治疗（２１例）进行对照研究。结果：２组近期疗效无明显差异，远期疗效骨窗组优良率（４１．２％）高于骨瓣组（１１．１％）。结论：微创、减压和纤溶药物的应用是高血压脑出血破入脑室的较佳的外科治疗方法。
Objective: To investigate the surgical treatment of hypertensive intracerebral hemorrhage caused by cerebral hemorrhage. Methods: The control group was treated with decompressive hematoma (27 cases) and small bone window hematoma (21 cases) combined with recombinant streptokinase hematoma. Results: There was no significant difference in the short term efficacy between the two groups. The excellent and good rate of long - term effect bone window group (41.2%) was higher than that of the bone flap group (11.1%). Conclusion: The application of minimally invasive, decompressive and fibrinolytic drugs is a better surgical treatment of hypertensive intracerebral hemorrhage.