经蝶窦显微手术结合X-刀治疗垂体侵袭性腺瘤

目的：报告8例垂体侵袭性腺瘤经蝶窦显微手术结合X－刀治疗的效果。方法：对于垂体侵袭性腺瘤，经蝶窦显微手术以解除肿瘤对视神经、视交叉的压迫为主，对不易切除的残余肿瘤行X－刀治疗。结果：通过临床症状、体征及影像学复查，随访7个月－2．5a，治疗效果明显。结论：对垂体侵袭性腺瘤采用经蝶窦显微手术结合X－刀治疗是安全有效的方法。

Invading Pituitry Adenoma by Transsphenoidal Microscopical Operation Combined with X-knife Treatment

Objective: 8 cases of invading pituitary adenoma were treated by the way of transsphemoidal microscopical operation combined with X-knife. Methods: The main objective of surgical operation was to remove depression of tumor on optic nerve and optic chiasm. Treatment of X-knife to the residue of tumor after operation that was removed difficultly. Results: The surgical effects were evident according to the revision for clinical manifestations, signs and neuroradiological examinations of following-up for 7 months to 2.5 years. Conclusion: Transsphenoidal microscopical operation combined with X-knife treatment for Invading pituitary adenoma is a safe and effective way.