报告眼眶哑铃状皮样囊肿２８例。术前Ｘ线检查有骨吸收和硬化环。超声探查、ＣＴ扫描和磁共振成像能作出准确的定性、定位诊断。术中所见证实囊肿与颞窝、额窦或颅窝等处沟通。本文强调ＣＴ扫描及磁共振成像对术前诊断具有重要性。并重点讨论术中必须清除囊壁及残余上皮，并用石碳酸腐蚀囊肿床，防止囊肿复发等问题。 Report of orbital dumbbell-like dermoid cyst in 28 cases. Preoperative X-ray examination of bone resorption and hardening ring. Ultrasound, CT scan and magnetic resonance imaging can make accurate qualitative diagnosis. Intraoperative findings confirmed that the cyst and temporal fossa, frontal sinus or fossa and other communication. This article emphasizes the importance of CT scanning and magnetic resonance imaging in preoperative diagnosis. And focus on the intraoperative need to remove the cyst wall and residual epithelium, and erosion of cyst bed with carbolic acid to prevent the recurrence of cysts and other issues.