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目的探讨从肿瘤的临床资料初步判断眼眶肿瘤的良恶性。方法分析２３例眼眶肿瘤的一般情况、临床特征及影像学诊断，术中所见的肿块特点。结果１１例恶性肿瘤中９例为１０岁以内的儿童和４０岁以上的中老年人；良性肿瘤平均就诊时间为２１个月，恶性肿瘤平均为１６．７个月；５例患眼突出度超过健眼６ｍｍ者，其中４例为恶性肿瘤；ＣＴ对眼眶肿瘤的诊断优于Ｂ超和Ｘ线；术中所见恶性肿瘤多为鱼肉样或豆腐渣样外观，易碎，不成形。结论肿瘤的良恶性与发病年龄、就诊时间、主要症状、眼球突出度及术中所见肿块特点均有相关关系。
Objective To explore the preliminary judgement of benign and malignant orbital tumors from the clinical data of tumors. Methods The general condition, clinical features and imaging diagnosis of 23 cases of orbital tumors were analyzed, and the characteristics of the tumors seen during the operation were analyzed. Results Nine out of 11 cases of malignant tumors were children within 10 years of age and middle-aged and over 40 years of age. The mean time to treat benign tumors was 21 months, and the average age of malignant tumors was 16.7 months; Among the 6mm healthy eyes, 4 of them were malignant tumors; CT had better diagnosis of orbital tumors than B-ultrasonography and X-rays; the malignant tumors seen during surgery were mostly fish-like or bean-cured appearance, brittle and unshaped. Conclusions The benign and malignant tumors are related to the age of onset, time of visit, major symptoms, ocular outgrowth, and characteristics of the tumor seen during the operation.