报告手术切除脑垂体瘤21例,分别采用四种手术进路,而以经鼻外筛窦与鼻内中隔联合进路为主,共施行13例。比较了四种手术进路的优劣,认为:鼻外鼻内联合进路兼有两者的优点,又弥补了两者各自的不足,较之其他三种进路为优。文中还对脑脊液漏和术后感染的预防进行了讨论。 Reported the surgical removal of 21 cases of pituitary tumor, were used four kinds of surgical approach, while the nasal ethmoid sinus and nasal septum combined approach, a total of 13 cases. Comparing the advantages and disadvantages of the four surgical approaches, it is concluded that the combination of both nasal and nasal routes has the advantages of both, and makes up for the respective deficiencies of both, which is superior to the other three approaches. The article also discusses the prevention of cerebrospinal fluid leakage and postoperative infection.