Abstract： Objective To explore the therapeutic efficacy of microsurgery in sellar region meningiomag.Method A retrospective analysis of the clinical data and prognosis of microsurgery was performed in 62 sellar region meningioma cases.The clinical manifestations and surgical outcomes were analyzed to evaluate the significance of microsurgery.Results Of the 62 sellar region meningioma cases,total resection and sub-total resection were achieved in 42 and 16 cages,respectively.Resection of major part was obtained in4 cases.Decompression was performed in4 cases during the operation procedure due to brain edema.No death occurred postoperatively.At the early stage after operation,12 patients developed the oculomotor paralysis,8 dysfunctions of trochlear and abducent nerves ipsilateral to the tumors,and 4 hemiplegia eontralateral to the tumors.Of the 20 cases whose tumors were sub-totally or partially dissected,11 patients took radiotherapy after operation.All these patients were followed up for about 3 to 38 months,among which 5 cases recovered from the oculomotor paralysis,3 patients recovered from the trochlear and abducent nerves paralysis,and 2 patients recovered from the hemiplegia.Of the 14 cases who suffered from tumor recurrence,4 patients underwent second operation and 6 patients took radiotherapy.4 patients lost follow up.Conclusions Satisfactory clinical outcome of microsurgery for sellar region meningiomag can be accomplished.