目的 :1 990— 2 0 0 1年激光显微手术和显微手术各切除巨大型垂体腺瘤 1 5例 ,探讨手术技术和体会。方法 :30例均经翼点入路 ,根据肿瘤发展方向 ,术中切除肿瘤需要分别打开 4个间隙中的某个或几个间隙 ,按囊内至囊壁顺序用激光或双极电凝分块切除肿瘤和瘤壁。结果 :全切除 2 5 OBJECTIVE: To investigate the surgical technique and experience of 15 cases of giant pituitary adenomas excised by laser microsurgery and microsurgery from 1990 to 2001. Methods: 30 cases were pterional approach, according to tumor development, intraoperative resection of the tumor need to open four gaps in one or more of the gap, according to the capsule to the capsule wall sequence with laser or bipolar coagulation Block removal of tumor and tumor wall. Results: Total resection 25