目的 用显微技术切除儿童髓母细胞瘤,减少手术并发症,提高术后生存质量。方法 对34例儿童髓母细胞瘤的临床资料进行分析。结果 34例均采用显微手术治疗,全切27例,次全切除4例,部分切除3例,手术死亡2例,死亡率为5.9％.获随访30例,临床治愈24例,症状改善6例,5年生存率为50％。结论 微创的显微外科技术是保证减少术后并发症,获得良好预后的关键。对于大多数患儿,建议术后辅以放疗。 Objective To dissect children’s medulloblastoma with microsurgical techniques to reduce the complications and improve the quality of life after surgery. Methods The clinical data of 34 cases of children with medulloblastoma were analyzed. Results All the 34 cases were treated by microsurgical operation, including 27 cases of complete resection, 4 cases of subtotal resection, 3 cases of partial resection and 2 cases of surgical death, the mortality rate was 5.9% .Of 30 cases were followed up, 24 cases were cured and the symptoms improved 6 For example, the 5-year survival rate is 50%. Conclusion Minimally invasive microsurgery is the key to ensure the reduction of postoperative complications and obtain a good prognosis. For most children, postoperative radiotherapy is recommended.