Liu James K, Weiss Martin H, Couldwell William T
Department of Neurosurgery, University of Utah Health Sciences Center, Suite 3B409, 30 North 1900 East, Salt Lake City, UT 84132-2303, USA.
Neurosurg Clin N Am. 2003 Jan;14(1):93-107. doi: 10.1016/s1042-3680(02)00033-5.
The transnasal transsphenoidal technique is the preferred approach for pituitary tumors confined primarily to the sella and parasellar regions. In the hands of experienced pituitary surgeons, the rates of morbidity and mortality are extremely low. Extended transsphenoidal approaches have been applied to gain access to the cavernous sinus and suprasellar regions. In some cases, resection via a transcranial approach may be warranted. Endoscopic techniques are being increasingly used and offer a minimally invasive approach and further reduce morbidity associated with the approach to pituitary tumors.
经鼻蝶窦技术是主要局限于蝶鞍和鞍旁区域的垂体肿瘤的首选治疗方法。在经验丰富的垂体外科医生手中，发病率和死亡率极低。扩大经蝶窦入路已被应用于进入海绵窦和鞍上区域。在某些情况下，可能需要通过经颅入路进行切除。内镜技术的应用越来越广泛，提供了一种微创方法，并进一步降低了垂体肿瘤治疗方法相关的发病率。
