经单侧鼻孔-蝶窦入路已经成为切除鞍区病变的标准手术,在手术导向和定位方面,各家采用的技术不同,参照的解剖标志也不同,有些做法还有争议。本文通过回顾148例显微手术,探讨一些解剖标志的观测方法和手术导向价值。1资料和方法1.1一般资料:本组148例,其中男78例,女70例。年龄12～78岁,平均:39.2岁。主诉头痛60例,头晕25例,头胀2例,头昏2例,月经紊乱或停经28例,泌 The unilateral nostril - sphenoid sinus approach has become the standard surgical resection of the saddle area lesions, surgical guidance and positioning, each using different techniques, reference anatomical landmarks are also different, some practices are still controversial. By reviewing 148 cases of microsurgery, this article discusses the observation methods and the value of surgical guidance for some anatomical landmarks. 1 Materials and Methods 1.1 General Information: The group of 148 cases, 78 males and 70 females. Aged 12 to 78 years old, average: 39.2 years old. Chief complaint of headache in 60 cases, 25 cases of dizziness, head swelling in 2 cases, 2 cases of dizziness, menstrual disorders or menopause in 28 cases,