目的 :探讨脉络膜恶性黑色素瘤的治疗措施。方法 :对 2 1例 ( 2 1只眼 )脉络膜恶性黑色素痛采用不同的治疗方式 ,10只眼行晶体玻璃体切割联合肿瘤局部切除术 ,6只眼行眼球摘除术 ,5只眼行放射治疗。结果 :肿瘤局部切除的 10只眼 ,术后矫正视力≥ 0 .3者 5只眼 ( 50 % ) ,0 .1～ 0 .0 2间者 3只眼( 30 % ) ,眼前数指 2只眼 ( 2 0 % )。结论 :脉络膜恶性黑色素瘤的治疗要根据肿瘤大小、部位及视功能情况选择合理的手术方式 Objective: To investigate the treatment of choroidal malignant melanoma. Methods: 21 cases (21 eyes) of choroidal malignant melanoma were treated with different methods. 10 eyes underwent vitrectomy combined with tumor excision, 6 underwent enucleation and 5 underwent radiotherapy. Results: Totally 10 eyes with partial resection of the tumor, 5 eyes (50%) with corrected visual acuity ≥0.3, 3 eyes (30%) with 0 .1 ~ 0. 02 eyes and 2 eyes Eye (20%). Conclusion: The treatment of choriocarcinoma melanoma should be based on tumor size, location and visual function to choose a reasonable mode of operation