Abstract Objective：To discuss the clinical efficacy between the two approaches of small skull-window microsurgical surgery and conventional trauma craniotomy in the treatment of hypertensive cerebral hemorrhage.Method：The clinical data of patients with hypertensive cerebral hemorrhage who were treated with two different approaches from January 2010 to October 2014 were analyzed retrospectively. Result：The rehemorrhage rate of patients were treated with conventional trauma craniotomy was relatively lower than patients treated with small skull-window microsurgical surgery. Small skull-window microsurgical surgery was superior than conventional trauma craniotomy in the incidence of postoperative complications，disability rate and patients' hospitalization time， the differences were statistically significant（P<0.05）.Conclusion：Small skull-window microsurgical surgery is superior than conventional trauma craniotomy， which depends on both medical technology and treatment facilities.
