巨细胞瘤血管丰富，破坏性较大，单纯经鼻腔进路或开颅常不易彻底切除。我们经顿面联合径路为1例巨大复发性蝶鞍巨细胞瘤的患者施行了手术，经3年随访无复发，疗效满意，报告如下。1病例报告患者女，19岁。因渐进性鼻塞、头痛、视物模糊1年，3个月前出现剧烈头痛及喷射性呕吐， Giant cell tumor vascular rich, more destructive, simple nasal approach or craniotomy often difficult to completely remove. We were operated by the Membrane Joint Pathway for a case of giant recurrent sellae giant cell tumor in patients with 3 years of follow-up without recurrence, the effect is satisfactory, the report is as follows. A case report patient female, 19 years old. Due to progressive nasal congestion, headache, blurred vision 1 year, 3 months ago, severe headache and jet vomiting,