鞍区脑膜瘤因其解剖结构、毗邻关系复杂,达到肿瘤全切除同时最大限度地保留神经功能是临床难点之一。当今显微手术技术、手术器械以及颅底入路技术的快速发展使鞍区脑膜瘤能够达到全切。而放射外科及神经放射学技术的发展,又为鞍区脑膜瘤的治疗开辟了另一有效途径。本文就鞍区脑膜瘤手术策略的制定及治疗进展进行综述。 Due to its anatomical structure and complex adjacencies, the sella meningioma in the sellar region is one of the clinical difficulties in achieving complete tumor resection while preserving neurological function to the maximum. Today’s microsurgical techniques, surgical instruments and the rapid development of skull base approach to the sellar meningioma to achieve full-cut. The development of radiosurgery and neuroradiology, but also for the treatment of sella meningioma opened up another effective way. This article summarizes the development of surgical strategies for sellar meningioma and its progress.