经眶颧额颞下联合入路，显微外科技术切除鞍旁脑膜瘤１８例。肿瘤全切除１４例（７８％），４例因肿瘤包裹颈内动脉或和入侵海绵窦，仅行次全切除；无死亡，全组术后Ｋａｒｎｏｆｓｋｙ记分均恢复正常或显著改善。作者认为，本入路便于广泛切除颅底受浸润骨质，毋须牵拉脑组织或牵拉甚微，便可对海绵窦侧壁与其邻近区域提供极好显露，对切除鞍旁脑膜瘤十分有利。 Subsequent iliac joint approach, microsurgical removal of parasellar meningiomas in 18 cases. Total tumor resection was performed in 14 cases (78%). Four cases had internal carotid artery encroachment or cavernous sinus invasion. Only subtotal resection was performed. No death occurred. The Karnofsky score of the whole group recovered to normal or significantly improved after the operation. The author believes that this approach is convenient for extensive resection of invaded bone at the skull base. No need to pull the brain tissue or pull it very little. It can provide excellent exposure to the side wall of the cavernous sinus and its adjacent area. It is very beneficial to the removal of parasellar meningiomas. .