报告经蝶窦显微手术及病理证实的106例垂体腺瘤的结果。术后疗效优良率74.1％,其中PRL腺瘤为62.5％,GH腺瘤为88.9％,GH-PRL腺瘤90％。认为早期诊断及力争肿瘤全切为提高手术疗效的关键。对经蝶窦手术的指征,手术注意点,预防并发症及肿瘤全切除等进行了讨论,提出肿瘤为局限型及弥漫型者较易作到全切除,侵蚀型者可能作到肉眼全切除,肿瘤呈包裹型者则难以全切。 Report the results of microsurgical and microscopic examination of 106 cases of pituitary adenomas confirmed by pathology. Postoperative excellent results 74.1%, of which PRL adenoma 62.5%, GH adenoma 88.9%, GH-PRL adenoma 90%. That the early diagnosis and strive to tumor resection in order to improve the efficacy of surgery. We discussed the indications of transnasal surgery, the points of attention of surgery, the prevention of complications and the total resection of the tumor. It is suggested that the tumor may be easier to be removed by limited and diffuse type. , The tumor was wrapped type is difficult to cut.