目的探讨年龄小于14岁的少年、儿童垂体腺瘤的诊断及其经蝶窦显微外科手术治疗。方法本组21例,其中垂体ACTH腺瘤11例,PRL腺瘤4例,GH腺瘤3例,无功能腺瘤3例。均行经蝶窦显微外科垂体腺瘤切除术。结果随诊1～10年,治愈76.2%,缓解14.3%,复发9.5%。结论经蝶窦垂体腺瘤切除术是治疗儿童垂体腺瘤的最佳方法。少年儿童垂体腺瘤以ACTH腺瘤最多见,除GH腺瘤以外多有发育迟缓,女性多有闭经或月经紊乱。 Objective To investigate the diagnosis of pituitary adenoma in children and adolescents younger than 14 years old and its microsurgical treatment of transsphenoidal surgery. Methods The group of 21 cases, of which 11 cases of pituitary ACTH adenoma, PRL adenoma in 4 cases, GH adenoma in 3 cases, 3 cases of non-functioning adenoma. All patients underwent microsurgical pituitary adenoma resection. Results Follow-up 1 to 10 years, 76.2% were cured, ease 14.3%, recurrence 9.5%. Conclusions Transanal pituitary adenoma resection is the best method to treat pediatric pituitary adenoma. Adolescent pituitary adenomas to ACTH adenomas most see, in addition to GH adenomas more than the growth retardation, many women have menopause or menstrual disorders.