0　引言　颅咽管瘤是一种较常见的胚胎残余组织肿瘤 ,发生率占颅内肿瘤的 1 .7%～ 4.6 % [1 ] .对本病的传统手术方法一般采取经颅入路 ,如经额下、经颞下或经脑室入路切除病变 [2 ] .近些年来已有采取经蝶手术切除本类肿瘤的报道 [3,4] .我科近 1 5年来手术治疗颅咽管瘤 1 87 0 Introduction Craniopharyngioma is a more common form of residual tissue tumor, the incidence of intracranial tumors accounted for 1.7% to 4.6% [1]. The traditional surgical methods of this disease are generally taken by transcranial approach, such as Transfrontal ablation or transthoracic transurethral resection of the lesion has been reported [2] .There have been reports of transurethral resection of the tumor in recent years [3,4]. Surgical treatment of craniopharyngas Tumor 1 87