目的 探讨锁孔入路切除颅咽管瘤的显微手术技术,以最大限度减少手术创伤,并达到完美的治疗效果。方法 采用眉部切口,在眶上额骨作直径2cm左右开颅,应用内镜辅助的显微手术技术切除病变。结果 连续8例颅咽管瘤患者采用眶上锁孔入路技术获治愈。结论 眶上锁孔入路可明显减少手术创伤,提供鞍上区足够的手术空间,并有效地切除病变。 Objective To study the microsurgical techniques of keyhole resection of craniopharyngioma in order to minimize the surgical trauma and achieve the perfect therapeutic effect. Methods The eyebrow incision was used to craniotomy the supraorbital frontal bone about 2 cm in diameter. Endoscopic assisted microsurgery was used to remove the lesion. Results Eight consecutive patients with craniopharyngioma were treated with supraorbital keyhole approach. Conclusion The supraorbital keyhole approach can significantly reduce surgical trauma, provide adequate surgical space in the suprasellar region, and effectively remove the lesion.