【摘要】 目的 探讨经翼点入路显微外科手术治疗前交通动脉瘤的方法。 方法 回顾性分析2006年1月-2007年1月间38例前交通动脉瘤患者的临床表现，影像资料、手术治疗及预后情况。所有患者均施行经翼点入路手术，夹闭38例。 结果 治愈37例，死亡1例。37例随访12个月均无前交通动脉瘤再出血发生。 结论 经翼点入路手术治疗前交通动脉瘤可收到满意的手术治疗效果。【Abstract】 Objective To investigate the methods of microsurgical treatment with transpterional approach on anterior communicating artery. Methods The clinical manifestation,imaging data,treatment and prognosis of 38 patients with anterior communicating artery from January 2006 to January 2007 were retrospectively analyzed. All the patients had undergone microsurgical treatment with transpterional approach and closure. Results Thirty-seven patients were cured, one patient was dead. There was no one of anterior communicating artery rebleeding in 12 months follow-up. Conclusion Microsurgical treatment with transpterional approach on anterior communicating artery patients can get satisfactory surgical outcomes.