目的探讨外科治疗颅眶沟通性肿瘤手术方法及效果。方法分析21例颅眶沟通性肿瘤患者的治疗方案,采用经额下入路或经翼点入路以及扩大联合入路3种手术方法,在显微镜下切除肿瘤。结果经额下手术6例,全切除5例,次全切除1例;经翼点入路显微手术4例,全切除2例,次全切2例;联合入路11例,全切8例;均无死亡患者。结论采用显微外科技术,针对肿瘤的性质及位置特点选择正确的手术入路是提高颅眶沟通性肿瘤全切率、减少并发征的关键。 Objective To investigate surgical methods and effects of surgical treatment of cranio-orbital tumors. Methods Twenty - one patients with cranio - orbital tumor were analyzed. The tumors were removed under the microscope with three surgical methods, which were treated with frontal approach or via pterional approach and expanding the approach. Results Transseptal surgery in 6 cases, total resection in 5 cases, subtotal resection in 1 case; pterional approach by microsurgery in 4 cases, total resection in 2 cases, subtotal cut in 2 cases; combined approach in 11 cases, all cut 8 Cases; no death patients. Conclusion Using microsurgical techniques to select the correct surgical approach according to the nature and location of the tumor is the key to improve the rate of full-rate cranial orbital tumor reduction and reduce concurrent complications.