Abstract: ［Abstract］Objective　To study the surgical effect of sylvian lateral fissure approach in the treatment of patients with hypertensive intracerebral hemorrhage on basal ganglia. Methods　Sixty-two patients with hypertensive intracerebral hemorrhage on basal ganglia in our hospital from October 2012 to June 2015 were selected， and equally divided into control group and observation group. The control group was treated with temporal cortex approach surgery，and the observation group was treated with sylvian lateral fissure approach surgery. The hematoma clearance rates of different amount of bleeding，and nerve function indexes and ADL score before the treatment and at different time after the treatment of two groups were compared．Results　The hematoma clearance rates of observation group with different amount of bleeding were higher than those of control group. The serum nerve function indexes were lower than those of control group. The ADL scores were better than those of control group. The above differences were statistically significant（P＜0.05）. Conclusion　The clinical effect of sylvian lateral fissure approach in the treatment of patients with hypertensive intracerebral hemorrhage on basal ganglia is better. The approach has an active role in the improvement of the hematoma clearance and nerve function and greater value for the patients with hypertensive intracerebral hemorrhage on basal ganglia.