经蝶窦入路切除垂体腺瘤已普遍地被神经外科医师所采用。我科自1990年12月至1992年12月,采用经蝶窦人路显微手术治疗垂体腺瘤95例。其中男性38例,女性57例,年龄10～63岁。应用四种切口进路,其中按 Hardy 和 Tindall 方法作唇下切口25例;鼻小柱下倒 W 形切口13例;鼻小柱下L 形切口41例;鼻中隔右单侧 J 形切口16例。本文重点观察与比较四种切口的手术显露、操作影响、术后状况及局部并发症的发生率。 Transsphenoidal approach for the removal of pituitary adenomas has been commonly used by neurosurgeons. In our department, from December 1990 to December 1992, 95 cases of pituitary adenomas were treated with transsphenoidal microsurgery. There were 38 males and 57 females, aged 10 to 63 years old. Four incision approaches were used, in which 25 cases were made with sub-labial incisions by Hardy and Tindall methods; 13 cases were inverted W-shaped incisions in the columella; 41 cases were L-shaped incisions in the columella; 16 cases were J- incisions in the right unilateral septum. . This article focuses on observing and comparing the surgical incision, operation impact, postoperative conditions and the incidence of local complications of the four incisions.