目的　探讨颅咽管瘤切除术后常见的并发症及其防治措施。方法　分析 84例颅咽管瘤手术后所出现的各种并发症 ,探讨其发生的原因并总结临床处理过程中的体会 ,提出合理的防治措施。结果　尿崩、高热、水电解质平衡失调、癫痫、意识障碍及应激性溃疡是颅咽管瘤切除术后较常见的并发症 ,其发生率分别为 :5 8.3 %、47.6%、42 .9%、16.6%、19.0 %、6.0 %。结论　合理的术式选择、术中垂体柄的辨认与保护、熟练的手术技巧及规范化的术后监测对提高全切率、减少术后并发症有十分重要的临床意义 Objective To explore the common complications and prevention measures after craniopharyngioma resection. Methods 84 cases of craniopharyngioma after operation of the various complications, to explore the causes and summarize the experience in the clinical treatment process, put forward reasonable prevention and treatment measures. Results Diabetes collapse, fever, electrolyte imbalance, epilepsy, disturbance of consciousness and stress ulcer were the most common complication after craniopharyngioma resection. The incidence rates were 58.3%, 47.6%, 42.9 %, 16.6%, 19.0%, 6.0%. Conclusion The rational choice of surgical procedures, the identification and protection of intraoperative pituitary stalk, skilled surgical skills and standardized postoperative monitoring are of great clinical significance in improving the rate of full-cut and reducing the postoperative complications