近２０年来，随着显微手术技术的开展，垂体腺瘤的诊疗取得较大进展，手术治疗已越来越安全、有效。但巨型垂体腺瘤（尤其是侵袭性垂体腺瘤）的治疗仍为神经外科的一大难题。现就垂体巨腺瘤的外科治疗进行讨论。１　分类及特点垂体瘤的分型及分级对于术式选择及预后估计极为重? In the past 20 years, with the development of microsurgical techniques, great progress has been made in the diagnosis and treatment of pituitary adenomas. Surgical treatment has become increasingly safe and effective. However, the treatment of giant pituitary adenomas (especially invasive pituitary adenomas) remains a major problem for neurosurgery. The surgical treatment of pituitary giant adenomas is discussed. 1 Classification and characteristics Classification and grading of pituitary tumors are extremely important for surgical selection and prognosis.