Objective To explore the effect of applying neuroendo scopic techniques in the surgery of hypertensive cerebellar hemorrhage.Methods Fifty patients with hypertensive cerebellar hemorrhage admitted to the Department of Neurosurgery in a hospital in Tianshui from February 2017 to February 2020 were selected for the study.The random number table method was used to divide the patients into control group and observation group

with25 cases in each group.The patients in the control group were treated with posterior cranial fossa craniotomy and the patients in the observation group were treated with neuroendoscopic hematoma removal surgery.The hematoma clearance rate

intraoperative bleeding

operation time

hospitalization time

and Activities of Daily Living（ADL） score at 6 months after operation were compared between the two groups. Results The length of hospitalization and operation in the observation group were（15.91±2.18）d and（75.66±19.21） min

respectively

which were significantly shorter than those in the control group at（18.02± 1.89） d and（155.41 ± 24.53） min（P<0.05）.The intraoperative bleeding volume of patients in the observation group was（92.14 ± 15.61） mL

which was less than that of the control group at（328.01 ±15.23）mL

and the difference was statistically significant（P<0.05）.The hematoma clearance rates were（87.43±14.35）% and（87.17±12.81）% in the observation and control groups

respectively

with no statistically significant difference（P>0.05）.The percentage of ADLL1 in the observation group was 29.14%

which was higher than that in the control group（8.69%）

and the difference was statistically significant（P<0.05）.The proportions of ADL3 and ADL4 in the observation group were 25.00% and 12.50%

respectively

which were lower than those of 39.13% and 26.09% in the control group

and the differences were statistically significant（P <0.05）.Conclusion Applying neuroendo scopic hematoma removal in the treatment of hypertensive cerebellar hemorrhage with bleeding volume of 10-25 mL can shorten the operation time and hospitalization time

reduce intraoperative bleeding

improve neurological dysfunction

and improve the quality of patients’ long-term daily life

with significant clinical effects

and is worth promoting.