经鼻中隔进路是通向蝶窦和蝶鞍的最常用的方法,也有采用经筛窦与上颌窦的,主要还是根据手术的要求作出安排。经鼻中隔进路手术简易、迅速且无损于美容。对于有经验的术者固然可安全地施行各种径路的蝶鞍手术;对于不常做蝶窦手术的术者,由于解剖上的方便,当以鼻中隔进路最为安全。目前作者们都是采取鼻内径路,所用的切口是在鼻中隔右侧作半贯通性切口,开始时手术一如鼻中隔粘膜下切除术,从中隔右侧掀起粘骨膜,暴露中隔全部软骨,与中隔尾缘相平行在软骨上做一 Transnasal septum access to the sphenoid sinus and sella is the most commonly used method, but also through the ethmoid sinus and maxillary sinus, mainly according to the requirements of the operation to make arrangements. Nasal septum approach surgery is simple, rapid and non-destructive beauty. For experienced surgeons can safely perform a variety of pathological operation of the sella; for those who do not often do sphenoid sinus surgery, due to anatomical convenience, when the nasal septum approach is the safest. At present, the authors adopt intranasal approach. The incision used is a semi-through incision on the right side of the nasal septum. The procedure begins with submucosal resection of the nasal septum. The mucoperiosteum is removed from the right side of the septum to expose all the cartilage in the septum. Septum margins parallel to make a cartilage