垂体腺瘤应否根除仍有争论。Ray和Patterson主张次全切除并尽量留下功能性腺体以防视力丧失,Sevn和Batydort则着重全摘除以减少复发。自激素治疗垂体功能减退以来,神经外科对垂体腺瘤更趋向根除术。技术上由于腺瘤与垂体周围结构关系密切而所遇到的种种困难,随着显微镜和双极电凝的使用,已为之简化。 Whether or not pituitary adenomas should be eradicated remains controversial. Ray and Patterson advocated subtotal resection and left as many functional glands as possible to prevent loss of vision. Sevn and Batydort focused on complete removal to reduce recurrence. Since the hormone therapy has decreased pituitary function, neurosurgery is more likely to eradicate pituitary adenomas. Technical difficulties due to the close relationship between adenomas and the structure around the pituitary gland have been simplified with the use of microscopes and bipolar coagulation.