垂体瘤是最常见的一种颅内肿瘤,通常分为功能性和无功能性两种。控制瘤体生长、降低激素值为其治疗的目标,这需要多科室的合作才能达到。立体定向放射外科治疗由于其较高的安全性,已经成为传统治疗措施的重要辅助方法。经过多年的临床经验总结,多个中心也已对适应证的选择达成统一共识,对疗效和并发症有了一个全面的认识。在本文中作者总结近年来一些争议点和共识。 Pituitary tumor is the most common intracranial tumor, usually divided into functional and non-functional two. Control of tumor growth, lower hormone values ​​for the treatment of its goals, which requires multi-departmental cooperation can be achieved. Stereotactic radiosurgery has become an important adjunct to traditional therapies due to its high safety. After many years of clinical experience, many centers have reached a consensus on the choice of indications, and have a comprehensive understanding of the efficacy and complications. In this paper, the author summarizes some controversial points and consensus in recent years.