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目的总结分析１９８５～１９９４年在我院经病理证实的孤立性眼眶神经鞘瘤。方法回顾性研究３０例孤立性眼眶神经鞘瘤的临床特点、诊断要点及治疗方法。对不同手术方法的术后并发症及术后复发情况进行了对比。结果孤立性眼眶神经鞘瘤多见于２０～４０岁青壮年，男女患病率差异无显著性。多表现为眼球突出，可伴有视力下降、眼部疼痛、眼球活动受限等。均行手术摘除肿瘤。术后视力下降８例（２６．７％），不变１３例（４３．３％），提高９例（３０．０％）；早期上睑下垂８例（２６．７％），眼球活动受限１１例（３６．７％）。术后随访１．５～１０．０年，５例复发，其中１例为低度恶性，４例为良性。大部分上睑下垂及眼球运动受限者，术后３～６个月恢复正常。结论应根据肿瘤的发生部位，选择最佳手术进路。
Objective To summarize and analyze the isolated orbital schwannoma confirmed by pathology in our hospital from 1985 to 1994. Methods Retrospective study of 30 cases of solitary orbital schwannoma clinical features, diagnosis and treatment methods. The postoperative complications and postoperative recurrence of different surgical methods were compared. Results Solitary orbital schwannoma more common in young adults aged 20 to 40, the prevalence of men and women was no significant difference. More performance for the prominent eye, may be associated with decreased vision, eye pain, limited eye activity. Surgical removal of the tumor. Postoperative visual acuity decreased in 8 cases (26.7%), unchanged in 13 cases (43.3%), increased in 9 cases (30.0%); early blepharoptosis in 8 cases (26.7%), Limits in 11 cases (36.7%). The patients were followed up for 1.5 to 10 years and 5 were recurrent, of which 1 was low-grade and 4 was benign. Most ptosis and eye movement are limited, 3 to 6 months after the return to normal. Conclusion should be based on the site of the tumor, choose the best surgical approach.