颅咽管瘤约占颅内肿瘤的9%,50%发生在儿童及青少年。治疗方法有全切除,次全切除紧密观察,次全切除术后放疗,针吸和/或活检而后放疗。日趋增多的是以显微外科全部切除肿瘤。然而全切除的可能性幅度为8—74%,全切术后的复发幅度高达0—50%。另有些作者提倡较为局限的切除而后放疗。长期的随访表明本疗法在存活与复发率上均可与全切除疗法相媲美。 Craniopharyngiomas account for about 9% of intracranial tumors, and 50% occur in children and adolescents. Treatment of total resection, subtotal resection close observation, subtotal resection of radiotherapy, needle aspiration and / or biopsy and then radiotherapy. Increasingly, microscopic surgical resection of the tumor. However, the probability of total resection is 8-74%, and the rate of recurrence after total resection is as high as 0-50%. Other authors advocate a more limited excision followed by radiotherapy. Long-term follow-up shows that this therapy is comparable to total excision in survival and relapse rates.