垂体腺瘤临床上并不少见。早期由于瘤体很小,局限在鞍内,常以内分泌症状为主。后期由于肿瘤发展,使蝶鞍扩大,甚至向鞍上扩展,出现视神经和视交叉受压的症状,确诊时,肿瘤已长得很大,有的造成失明。我院1959年7月至1985年7月间收冶垂体腺瘤78例,肿瘤多较大,且向鞍上扩展,均经额入路手术。现分析如下。 Pituitary adenomas are not uncommon in the clinic. In the early stage, because of the small size of the tumor, it was confined to the saddle, often with endocrine symptoms. Later on, due to the development of the tumor, the sella expanded and even extended to the saddle. Symptoms of oppression of the optic nerve and the optic chiasm occurred. At the time of diagnosis, the tumor had grown very large, and some had caused blindness. From July 1959 to July 1985 in our hospital, 78 cases of pituitary adenomas were harvested, and the tumors were relatively large and expanded to the upper part of the saddle. The analysis is as follows.