报告52例颅咽管瘤的手术经验,根据临床症状、体征,X线检查及CT扫描,把肿瘤分为鞍内、鞍上、三脑室内及其他部位4型,这对选择手术入路有利。对鞍内及鞍上型,经额下入路手术,三脑室内型,经右额侧脑室入路,仅作脑室分流者效果不佳。本组总死亡率为13.5％,按分型选择手术入路后,20例手术无死亡。 Report 52 cases of craniopharyngioma surgery experience, according to clinical symptoms, signs, X-ray examination and CT scan, the tumor is divided into saddle, suprasellar, third ventricle and other parts of the 4, which is advantageous for the selection of surgical approach . On the saddle and the saddle type, the amount of surgery under the forehead, three-room type, the right forebrain lateral ventricle, only ventricular shunt were ineffective. The total mortality rate of 13.5%, according to the type selection surgery approach, 20 cases of surgery without death.