报告21例儿童及少年的第三脑室后部肿瘤手术,无1例死亡及昏迷,全切除及近全切除者7例。本组均于手术当日清醒,近期疗效良好。认为手术入路选择恰当是成功的关键,应根据肿瘤的部位及脑室的大小来确定手术的方法,肿瘤偏前取EropoB氏入路,偏后则宜用改良的Poppen氏或Krause氏入路,并简要介绍了操作改进等一些经验。 Report of 21 cases of children and adolescents in the third ventricle behind the tumor surgery, no case of death and coma, total resection and near total resection in 7 cases. This group were awake on the day of surgery, the recent good effect. That the appropriate choice of surgical approach is the key to success, should be based on tumor size and ventricular size to determine the surgical approach, the tumor preemptive take EropoB’s approach, partial postpone the better Poppen’s or Krause’s approach, And briefly introduced some improvements such as operation experience.