尽管上世纪初人们己认识颅咽管瘤并不断研究其可行的治疗方案 ,但至今颅咽管瘤的手术治疗仍然是神经外科界具有挑战性的课题。选择合适的手术方式对于彻底切除肿瘤、提高生存率、防止并发症及肿瘤复发具有重要的意义。本文结合病理对手术及预后的影响因素作一综述。 Despite the fact that craniopharyngiomas were known in the early part of the last century and their viable treatment regimens were continually studied, the surgical treatment of craniopharyngiomas remains a challenging subject in neurosurgery until now. Select the appropriate surgical approach for the complete removal of the tumor, improve survival, prevent complications and tumor recurrence of great significance. This article combines the pathology of surgery and prognosis factors are reviewed.