目的 :探讨眼眶特发性炎性假瘤的临床特点和治疗效果。方法 :回顾分析我中心自 1978年 1月到 1999年 12月收集的眼眶特发性炎性假瘤 2 0 9例。结果 :2 0 9例中 ,男 118例 ,女 91例 ;就诊年龄 4～ 80岁 (平均 44 4岁 ) ;右眼 90例 ,左眼 81例 ,双眼 38例。眼球突出( 6 6 % )、眶缘可触及肿物 ( 6 5 % )、眼睑肿胀 ( 5 5 % )、眶压增高 ( 5 5 % )和眼球运动受限 ( 4 8% )为最常见的表现。根据影像学和手术所见 ,以眼眶内占位性病变表现者最多见 ( 4 3% ) ,其次为泪腺炎型 ( 32 % )、弥漫型 ( 10 % )和肌炎型 ( 8% )。视神经周围炎型 ( 2 % )、巩膜周围炎型 ( 2 % )、急性型 ( 2 % )与眼睑型 ( 1% )少见。经手术、全身用激素或免疫抑制剂和眼眶局部放射治疗后随访结果 (平均随访 1 5年 )显示完全治愈率和部分治愈率分别为 40 %和 5 7% ,其中随访半年以上的 80例病人中有 43%复发。结论 :尽管眼眶特发性炎性假瘤容易复发 ,但手术切除、全身用激素和眼眶局部小剂量放射治疗等的成功率高 Objective: To investigate the clinical features and therapeutic effects of orbital idiopathic inflammatory pseudotumor. Methods: A retrospective analysis of my center from January 1978 to December 1999 collected orbital inflammatory pseudotumor 209 cases. Results: There were 118 males and 91 females in 209 cases. The treatment ages ranged from 4 to 80 years (average 444 years). There were 90 cases of right eye, 81 cases of left eye and 38 cases of both eyes. The most common eyeballs (66%), palpable orbital margin (65%), eyelid swelling (55%), orbital pressure increase (55%) and eye movement limitation which performed. According to imaging and surgical findings, the most common lesions were intraorbital lesions (43%), followed by dacryoadenitis (32%), diffuse (10%) and myositis (8%). Peritoneal inflammation (2%), scleral inflammation (2%), acute (2%) and eyelid (1%) rare. Surgical, systemic hormones or immunosuppressive agents and orbital local radiotherapy follow-up results (average follow-up of 15 years) showed complete cure and partial cure rates were 40% and 57%, respectively, followed up for more than six months in 80 patients 43% of recurrences. CONCLUSIONS: Despite the easy recurrence of orbital idiopathic inflammatory pseudotumor, the high success rate of surgical excision, systemic administration of hormones and small orbit local small-dose radiation