目的探讨立体定向手术并Ⅰ~(125)粒子植入治疗颅咽管瘤的可行性。方法对31例颅咽管瘤患者行立体定位抽吸囊液,而后植入Ⅰ~(125)粒子。结果术后31例患者症状均得到明显改善,术后16-32周复查瘤体未见复发,患者状态良好。无严重手术并发症。结论立体定向合并粒子植入治疗颅咽管瘤具有安全、经济、损伤小,近期和远期效果均良好。 Objective To investigate the feasibility of stereotactic surgery and I ~ (125) particle implantation in the treatment of craniopharyngioma. Methods Thirty - one patients with craniopharyngioma were treated with stereotactic aspiration and then with 125 particles. Results The symptoms of all the 31 patients were significantly improved after operation. No recurrence was observed in the tumor after 16-32 weeks, and the patients were in good condition. No serious surgical complications. Conclusion Stereotactic combined with particle implantation for craniopharyngioma has the advantages of safety, economy, less damage and short-term and long-term effects.