多数原发性空蝶鞍因无症状而不必手术治疗。但对少数出现进行性视力丧失或视野缺损,以及出现脑脊液鼻漏和顽固性头痛者则需手术。作者报导一例应用显微技术,经蝶窦硬膜外入路行气囊填充法治疗原发性空蝶鞍的病例。患者,34岁女性,头痛伴视力模糊数月,药物治疗无效。检查发现双眼视乳头不清楚,颅内压轻度增高(175mm水柱),视力及视野正常,常规血清 Most primary empty sellaes are asymptomatic without surgical treatment. However, for a small number of patients with progressive vision loss or visual field defects, as well as cerebrospinal fluid rhinorrhea and intractable headaches, surgery is required. The authors reported a case of application of microscopy in transsphenoidal epidural approach for the treatment of primary empty sella. The patient, a 34-year-old woman, had headaches with blurred vision for several months, and drug treatment was ineffective. Examination revealed unclear binocular papilla, slightly increased intracranial pressure (175 mm water column), normal vision and visual field, routine serum