前、中颅底内外沟通性肿瘤22例,均经CT和脑血管造影确诊,手术全切除17例,次全切除5例,无手术死亡。随访4个月～3年,显效9例,进步4例,改善4例,恶化2例。作者强调手术应根据肿瘤所侵袭的范围和蔓延方向采用不同的入路,以充分显露,尽可能全切除肿瘤。生物粘合剂和明胶海绵对修补硬脑膜以及重建颅底有效。 Twenty-two cases of anterior and middle cranial tumors with internal and external communicating tumor were confirmed by CT and cerebral angiography. Total resection was performed in 17 cases, subtotal resection in 5 cases and no operative death. Followed up for 4 months to 3 years, 9 cases markedly improved, 4 cases improved, 4 cases improved, 2 cases worse. The authors emphasize that surgery should be based on the extent of invasion of the tumor and the direction of the spread of different access to fully reveal the tumor as possible removal. Bioadhesives and gelatin sponges are effective at repairing the dura and rebuilding the skull base.