介绍了１１７例垂体巨腺瘤显微手术治疗经验。所有病例均经翼点入路开颅， 采用显微手术解剖鞍区各脑池，充分利用鞍区４ 个解剖间隙切除肿瘤。同时主张全部病例在术后短期内放疗。本组患者中有９４ 例获得全切，占８０．３％ 。死亡６ 例， 占５．１％ 。复发８ 例， 占６．８％ 。结果表明， 垂体巨腺瘤经翼点入路采用显微手术治疗， 是提高全切率、降低死亡及复发率的重要手段 Introduced 117 cases of pituitary giant adenomas microsurgery experience. All cases were craniotomy through a pterional approach. Microsurgical procedures were used to dissect the brain pools in the sellar area and fully utilize the four anatomic gaps in the sellar area to remove the tumor. At the same time advocate all cases of radiotherapy in the short term after surgery. In this group of patients, 94 cases were fully cut, accounting for 80.3%. There were 6 deaths, accounting for 5.1%. Recurrence occurred in 8 cases, accounting for 6.8%. The results showed that the use of microsurgical treatment of pituitary giant adenomas via pterional approach is an important means to increase total resection rate and reduce mortality and recurrence rate.