目的介绍36例垂体腺瘤经蝶入路显微手术切除治疗的经验。方法回顾分析了我院经蝶入路显微切除36例垂体腺瘤的临床资料。结果本组病人均经蝶入路手术治疗取得良好效果,全切27例占75.0%,次全切7例占19.4%,大部分切除2例占5.6%。结论对垂体腺瘤经蝶入路显微手术全切率高,患者术后恢复较快,且并发症少,无手术死亡病例,是值得推广的一种治疗手段。 Objective To introduce the microsurgical resection of 36 cases of pituitary adenoma by transsphenoidal approach. Methods The clinical data of 36 cases of pituitary adenoma by microsurgical transsphenoidal approach were retrospectively analyzed. Results The patients underwent transsphenoidal surgery to achieve good results. The total resection was performed in 27 cases (75.0%), the subtotal resection in 7 cases (19.4%) and the resection in 2 cases (5.6%). Conclusions Microsurgery of pituitary adenoma by transsphenoidal microsurgical approach has the advantages of high total cut rate, quick postoperative recovery, fewer complications and no death from surgery, which is worthy of promotion.