摘除眼球后肌锥内肿瘤切开眶外壁传统做法用电锯、线锯或骨凿,我们使用手摇骨钻行眶外壁切开,手术安全、简便顺利地摘除了球后肌锥内血管瘤,效果良好现报道如下。患者,女,32岁,农民.发现左眼球突出5～6个月,伴进行性视力下降。否认外伤史。B 超、CT 检查为左眼球后肌锥内肿块23mm×17mm×30mm,CT 值52Hu,轮廓完整,视神经结构为肿块影包埋而显示不佳。以左眼视神经纤维瘤入院。全身无异常,视力右1.5、左0.04,左眼 Excision of the posterior eye muscle tumor reconstruction of the orbital wall Conical saw, jigsaw or bone chisel, we use the hand bone drilling orbital wall incision, surgical safety, simple and easy removal of the posterior bulb of the cone tumors within the hemangiomas Good results are reported below. The patient, female, 32 years old, farmer, found that the left eyeball protruded 5-6 months with progressive visual loss. Denied the history of trauma. B ultrasound, CT examination for the left eye ball muscle after the cone mass 23mm × 17mm × 30mm, CT value 52Hu, contour complete, optic nerve structure is embedded in the shadow of the mass and showed poor. To the left optic nerve fiber tumor admitted. No abnormalities, visual acuity 1.5, left 0.04, left eye