【摘 要】目的：探讨神经内镜下经鼻蝶垂体腺瘤手术特点、临床疗效及优缺点；方法：回顾性分析我科2008年9月至2012年9月开展的16例神经内镜下经鼻蝶垂体腺瘤手术临床资料。结果：16例神经内镜下垂体腺瘤手术均顺利完成，其中13例全切(81.25%)，2例次全切(12.5%)，1例大部分切除(6.25%)结论：神经内镜下经鼻蝶垂体腺瘤手术具有直视下操作简便，较显微镜下手术视野更加清晰和广泛、易于辨认肿瘤及瘤周结构，易于安全切除肿瘤，并发症少等特点，是一种创伤小、安全的手术方法。

    【关键词】神经内镜；垂体腺瘤；经蝶入路手术

    【中图分类号】R473.5 【文献标识码】A 【文章编号】1004-7484(2014)04-1924-02

    Explore Neuro-endoscopic Endonasal Transsphenoidal Approach To Pituitary Tumors

    【Abstract】Objeetive： To explore the characteristics and clinical efficacy of neuro-endoscopic Endonasal transsphenoidal approach to pituitary adenomas.Methods： The 16 cases clinical data of neuro-endoscopic transsphenoidal approach to pituitary adenomas from September 2008 to September 2012 were analyzed retrospectively . Results： 16 cases of pituitary adenomas surgery by neuro-endoscopic transsphenoidal approach to pituitary adenomas were successfully completed.13 cases were resected totally(81.25%) ......