垂体瘤切除术的手术进路,过去多采用Oliveczona氏所倡导的颅内额下进路。晚近由于手术所需设备的更新、采用辉度放大器的电视x线透视及手术显微镜、手术显微器械;Havdy氏又改进了手术技术,还倡导经鼻蝶骨入路显手术进行垂体瘤切除术。此进路无损伤脑组织之弊,手术显露好,便于使用手术显微镜、操作方便,既能行垂体瘤全切除术又能行垂体微腺瘤(垂体催乳素腺瘤)选择性摘除术,突破了过去经颅内额下进路行垂体瘤切除术的手术适应症。我科自 In the past, the surgical approach of pituitary tumor resection was often performed using the intracranial suborbital approach advocated by Oliveczona’s. Recently due to new equipment required for surgery, TV x-ray and microsurgical microscopes using surgical amplifiers and surgical microscopes; Havdy’s improved surgical technique, and also advocated transnasal sphenoid approach for surgical resection of pituitary tumors. . This approach has no damage to the brain tissue and has good surgical exposure. It is easy to use the operating microscope and is easy to operate. It can perform both the total resection of pituitary tumors and the selective removal of pituitary microadenomas (pituitary prolactin adenomas). The past indications of transcranial suborbital surgery for pituitary tumor resection. My department since