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目的：探讨治疗颅底脑膜瘤的手术途径。方法：根据肿瘤的部位及扩展范围分别采用颈腮切口（例１及２）、颞额切口经颞（例３）、上颌骨上部翻瓣（例８）、上颌骨上部翻瓣和颞额经颞下窝联合（例４）、耳后Ｃ型切口（例５、６、７）及鼻侧切开（例９）等入路。结果：９例脑膜瘤术后均Ⅰ期愈合，１例恶性脑膜瘤术后２年余死于复发，１例术后１年余颅内残存瘤有长大迹象，１例脑膜瘤手术３７年后ＣＴ见颅底有复发迹象。余６例均情况良好。结论：颅底脑膜瘤多为良性，生长缓慢，多发自幼儿时期，恶性脑膜瘤生长快，可转移。手术彻底清除是治疗的主要方法，应选择能够显露和利于切除肿瘤而损伤小的手术入路。
Objective: To explore the surgical treatment of skull base meningiomas. Methods: According to the location of the tumor and the expansion range, the neck gills incision (cases 1 and 2), the temporal frontal incision (case 3), the upper maxillary flap (case 8), the maxillary flap and the temporal frontal Infratemporal fossa (example 4), posterior c-type incision (cases 5, 6, 7) and nasal dissection (example 9). Results: Nine cases of meningioma healed first stage, one case of malignant meningioma died of recurrence two years after operation, one case of intracranial residual tumor showed signs of growth more than one year after operation, and one case of meningioma operated for 37 years Post-CT see signs of recurrent skull base. The remaining 6 cases were in good condition. Conclusion: Most of skull base meningiomas are benign, slow growth, multiple since childhood, malignant meningiomas grow fast, can be transferred. Thoroughly clear the surgical treatment is the main method of treatment, should be chosen to be able to reveal and facilitate the removal of the tumor and injury of small surgical approach.