Abstract：Objective:To discuss the clinic application of endoscopic endonasal transsphenoidal approach in the treatment of pituitary adenomas. Methods:To look into such literatures related to research of endoscopic endonasal transsphenoidal surgery for pituitary adenomas in database PubMed, CNKI and so on, summarize and analyze the results.Results:The approaches of endoscopic endonasal tran- ssphenoidal surgery for pituitary adenomas includes standard transsphenoidal approach and extended transsphenoidal approach. Pituitary adenomas invading suprasellar, cavernous sinus (CS), and clivus can be removed through extended transsphenoidal approach. The complications of endoscopic endonasal transsphenoidal surgery for pituitary adenomas include diabetes insipidus, cerebrospinal fluid leaks and hemorrhage.Conclusions:Endoscopic endonasal transsphenoidal approach provides an minimally invasive surgery for pituitary adenomas,and can expose fully.This approach is safe and has higher rates of gross total resection with fewer complications, so it is widely accepted as an ideal method for most pituitary adenomas.
陈化洋，张少军. 经鼻蝶入路神经内镜下垂体腺瘤切除术进展[J]. 中华解剖与临床杂志, 2013, 18(4): 356-359.
CHEN Hua-yang,ZHANG Shao-jun. Research Progress on Endoscopic Endonasal Transsphenoidal Surgery for Pituitary Adenomas. Chinese Journal of Anatomy and Clinics, 2013, 18(4): 356-359.
2013, Vol. 18 
