目的　探讨儿童颅咽管瘤的外科治疗方法。方法　总结、分析 2 1例儿童颅咽管瘤的临床诊断以及手术方法。结果　肿瘤全切除 11例 ,次全切除 7例 ,大部分切除 3例。术后发现尿崩症者 14例 ,占 6 6 % ,4例出现下丘脑损伤 ,占 19% ,其中死亡 1例。结论　儿童颅咽管瘤的外科治疗仍是神经外科的难题 ,手术的选择必须根据患儿的病情 ,经济状况 ,手术医师的经验以及医院的综合医疗水平综合考虑。 Objective To investigate the surgical treatment of craniopharyngioma in children. Methods To summarize and analyze the clinical diagnosis and surgical methods of 21 children with craniopharyngioma. Results Total resection in 11 cases, subtotal resection in 7 cases, the majority of resection in 3 cases. Postoperative urinary apetize found in 14 cases, accounting for 6 6%, 4 cases of hypothalamic injury, accounting for 19%, of which 1 died. Conclusion Surgical treatment of craniopharyngioma in children is still a difficult problem in neurosurgery. The choice of operation must be based on the condition of the child, economic status, surgeon’s experience and comprehensive hospital medical care.