对 38例颅眶沟通瘤诊断与手术治疗进行回顾性研究 ,以期进一步提高此类肿瘤的疗效。全组 38例 ,其中男 2 9例 ,女 9例 ,年龄 4～ 5 4岁 ,平均 32 2岁。肿瘤在颅内位于前颅凹 33例 ,中颅凹 5例。35例 (92 1% )出现与视器有关的症状 ,2 3例 (6 0 5 % )有头痛、头晕等颅内压增高症状。部分病例行血管造影及术前颈外供瘤血管栓塞术。采用显微外科技术与不同手术入路切除肿瘤 ,全切者 2 8例 ,大部切除者 10例 ,均恢复良好 ,术后无死亡。随访 7个月～ 9年 ,2 4例完全恢复健康 ,6例生活需要照顾 ,5例有不同程度恢复 ,3例恶性肿瘤在术后 3个月～ 2年死于多器官功能衰竭。颅眶沟通瘤多以视器改变为主要临床表现 ;对颅眶沟通的高血运肿瘤 ,术前栓塞可以明显减少手术中出血 ,增加全切肿瘤的可能性 ;采用不同手术入路及多学科联合 ,在显微镜下切除肿瘤 ,可直接改善手术治疗的效果 38 cases of cranial orbital tumor diagnosis and surgical treatment were retrospectively studied with a view to further improve the efficacy of such tumors. The whole group of 38 patients, including 29 males and 9 females, aged 4 to 54 years old, with an average of 32 2 years old. The tumors were located in the anterior cranial fossa in the skull in 33 cases and in the cranial fossa in 5 cases. Twenty-five patients (92.1%) had symptoms related to the visual field, and 23 patients (65%) had symptoms of increased intracranial pressure such as headache and dizziness. Some cases of angiography and preoperative external carotid artery embolization. Tumor resections were performed using microsurgical techniques with different surgical approaches. Twenty-eight cases were completely cut and 10 cases were mostly resected, all of whom recovered well without any death after operation. All patients were followed up for 7 months to 9 years. Twenty-four patients were fully recovered, 6 were in need of care, 5 were recovered to varying degrees, and 3 patients died of multiple organ failure after 3 months to 2 years. Transcranial orbital tumors are mostly seen as the main clinical manifestations of changes; for cranial andbital communication of high blood circulation tumor, preoperative embolization can significantly reduce the bleeding during surgery, increasing the possibility of total resection of the tumor; using different surgical approaches and multidisciplinary Union, the removal of the tumor under the microscope, can directly improve the effect of surgical treatment