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目的：探索颅眶沟通瘤的Ｂ超诊断方法，以利于临床的诊断及治疗。方法：直接经上眼睑向眶内、颅内、副鼻窦内探查颅眶沟通瘤的声像图表现，有颞骨破坏者经颞部皮肤向眶内、颅内探查颅眶沟通瘤的声像图表现。结果：按肿瘤的主要部分所在的部位及侵袭范围将４６例颅眶沟通瘤分为５型，即：颅眶型１９例，颅眶鼻型３例，眶颅型７例，颅眶颅内外型１６例，鼻眶颅型１例。手术切除３２例，依肿瘤的分类不同采用不同的手术入路，肿瘤全切除３０例，次全切除２例。结论：Ｂ超诊断颅眶沟通瘤结果可靠，依据Ｂ超诊断按肿瘤的主要部分所在部位及侵袭范围分类，有利于手术方法的选择，提高了肿瘤的全切率。
Objective: To explore the diagnostic method of craniosynostosis by B-scan in order to facilitate clinical diagnosis and treatment. Methods: Directly through the upper eyelid to the orbital, intracranial, paranasal sinuses exploration of cranio-orbital tumor imaging, temporal bone destruction through the temporal skin to the orbital, intracranial exploration cranial orbital tumor imaging which performed. Results: 46 cases of cranio-orbital tumor were divided into 5 types according to the site of the main part of the tumor and invasion, including 19 cases of orbital, 3 cases of orbital nose and nose, 7 cases of orbital craniofacial, Internal and external in 16 cases, 1 case of orbital craniofacial. Surgical resection in 32 cases, according to the classification of different tumors using different surgical approach, tumor resection in 30 cases, subtotal resection in 2 cases. Conclusion: B-ultrasound diagnosis of cranio-orbital tumor is reliable. According to the diagnosis of B-ultrasound, it is helpful to choose the surgical method according to the location of the main part of the tumor and the invasion range, and improve the rate of tumor resection.