As we all know, hypertensive cerebral hemorrhage is characterized by high morbidity, disability and mortality, and its mortality and disability rates are the highest among all types of stroke. In recent years, the concept of “minimally invasive” has emerged, and the new technique of directed soft channel hypertensive cerebral hemorrhage treatment uses a simplified method to scientifically locate the intracranial hematoma in three dimensions, thus improving the accuracy of hematoma targeting and puncture, and adopting local anesthesia, directed, soft channel approach and scientific and reasonable drainage device design, which can achieve the goal of minimizing local and peripheral damage to brain tissue. It can achieve the goal of early and complete removal of intracerebral hematoma with little damage to local and peripheral important organs and tissues, greatly expand the indications for surgery, shorten the medical treatment course, reduce medical costs, enable early intervention of rehabilitation treatment, improve the prognosis of comprehensive treatment of hypertensive cerebral hemorrhage, and reduce the residual death rate of the disease. The technique is a combination of three-dimensional head positioning and CT. The three-dimensional head positioning method is based on the combination of three-dimensional positioning theory and cranial anatomical structure. Based on the three-dimensional positioning data of intracranial hematoma on CT film and the principle of analytic geometry, the spatial position of the central target point of the hematoma is established on the surface of the head using a localizer, and the intersection line of any two planes in the three-dimensional plane passing through the target point of the hematoma is used as the path of entry to the target point. Using this method, the error of localization of the central target point of the hematoma is less than 5 mm, and the purpose of preoperative precise localization of intracranial hematoma is achieved. This technique is characterized by introducing a hose with an inner diameter greater than 1.8 mm into the central target point of the hematoma under CT, and adjusting the position of the drainage tube and the direction of the lateral hole at any time according to the relationship between the position of the drainage tube and the intracranial hematoma as shown by CT, so as to finally remove the hematoma accurately and to the maximum extent. Because of the accurate preoperative positioning and intraoperative CT surveillance, this technique can perform multi-target and multi-path surgery for large hematomas, achieving the goal of removing only intracranial hematomas without injuring the normal brain tissue around the hematoma. Postoperatively, the residual hematoma can be drained by intracranial injection of urokinase to achieve complete removal of the hematoma, eliminate the occupancy effect of the hematoma and reduce the neurological damage caused by chemical injury. The development of this technique brings hope for saving lives and reducing disability for patients with hypertensive cerebral hemorrhage, and can achieve good social and economic benefits. Our neurosurgery department is the first in Beijing to carry out the “soft channel” technique to save hypertensive cerebral hemorrhage, which brings new hope to patients with hypertensive cerebral hemorrhage.