目的评价治疗鞍区肿瘤常用的各种手术入路的治疗效果。方法应用显微外科技术并采用不同的手术入路治疗 41例鞍区常见肿瘤 ,从手术显露范围、全切率等不同角度评价各种手术入路的效果。结果翼点入路和改良翼点入路能够取代一些创伤较大的入路 ,在显微外科条件下已成为最常用的手术入路。结论选择适当的手术入路并与显微外科技术有机结合是取得最好疗效的关键 Objective To evaluate the therapeutic effect of various surgical approaches commonly used in the treatment of sellar tumors. Methods Forty-one cases of common tumors in the sellar area were treated with microsurgical techniques and different surgical approaches. The effects of various surgical approaches were evaluated from different perspectives, such as the range of surgical exposure and the rate of complete resection. Results The pterional approach and modified pterional approach can replace some of the most traumatic approaches and have become the most common surgical approach under microsurgery. Conclusions Choosing the appropriate surgical approach and combining with microsurgical techniques is the key to achieving the best outcome