我科收治颅咽管瘤15例,其中10例采用立体定向囊液排空术,5例前额开颅术。本文详细介绍了立体定向囊液排空治疗的具体方法和注意事项,提出颅咽管瘤定向手术治疗的适应症。虽然单纯穿刺易复发,只要配合放射治疗,与其它方法相比,疗效基本一致。并且此法可反复应用,术后并发症发生率明显减少,故亦是治疗颅咽管瘤的一种较好方法。 15 cases of craniopharyngiomas were treated in our department, including 10 cases of stereotactic cyst fluid emptying and 5 cases of forehead craniotomy. This article describes in detail the specific methods of stereotactic cystic fluid emptying treatment and precautions, the proposed craniopharyngioma targeted surgical indications. Although simple puncture easy to relapse, as long as with radiotherapy, compared with other methods, the effect is basically the same. And this method can be repeatedly applied, the incidence of postoperative complications was significantly reduced, it is also a better way to treat craniopharyngioma.