目的探讨囊性脑膜瘤临床诊断难点及手术治疗要点。方法回顾性分析哈尔滨医科大学附属第二医院神经外科2005年1月至2013年12月经手术病理证实为囊性脑膜瘤的患者20例,分析其影像学表现及治疗结果。结果肿瘤全切14例,随访1~5年,复发2例,均为囊在瘤外病例。结论肿瘤及囊壁的彻底切除是防止术后复发的关键。放射治疗可提高手术预后。 Objective To investigate the clinical diagnosis of cystic meningioma and surgical treatment points. Methods A retrospective analysis of neurosurgery in the Second Affiliated Hospital of Harbin Medical University from January 2005 to December 2013 confirmed by surgical pathology of cystic meningioma in 20 patients, analyze the imaging findings and treatment results. Results Totally 14 patients underwent complete resection of the tumor. The patients were followed up for 1 to 5 years and relapsed in 2 patients. Conclusion The complete removal of tumor and capsule wall is the key to prevent postoperative recurrence. Radiation therapy can improve the prognosis of surgery.