经鼻蝶垂体腺瘤手术治疗进展 Progress of Transsphenoidal Ectomy of Pituitary Adenomas

目前对于垂体瘤的治疗主要以手术为主，辅以药物治疗及放射治疗。随着科技的不断发展，垂体瘤的手术方式也在不断地发展更新。主要包括经鼻蝶入路术式、显微镜经鼻蝶手术、内镜下经鼻蝶入路。同时 MRI及神经导航也运用到垂体腺瘤手术中。文中就经鼻蝶入路手术治疗垂体腺瘤作一综述，以提高对垂体腺瘤治疗的认识。 At present, surgery is the mainly treatment of pituitary adenomas, supplemented by drug therapy and radiotherapy. The means of ectomy of pituitary adenomas is developed constantly, including transsphenoidal surgical approach, transsphenoidal microsurgery approach and eurotranssphe-noidal neuroendoscopic surgery. Magnetic resonance imaging (MRI) and neural navigation are also used in the ectomy. In the paper, we summarize the transsphenoidal surgical approach, in order to improve the understanding of the treatment of pituitary adenoma.