本文报告了6例眶内原发性脑膜瘤的临床和病理资料及4例随访情况。结合文献对肿瘤的起源和部位与视神经胶质瘤和海绵状血管瘤的鉴别诊断、复发情况进行了讨论。并认为肿瘤宜早切全切。位于眶中后部,早期视力尚好时,可先观察。对分化不良者,术后配合放疗。 This article reports 6 cases of orbital primary meningioma clinical and pathological data and 4 cases of follow-up. Combined with the literature on the origin and location of tumor and glioma and cavernous hemangioma of the differential diagnosis and recurrence were discussed. And that the tumor should be cut early. Located in the back of the orbital, early vision is still good, can be observed first. Poor differentiation, postoperative radiotherapy.