方法：选择弥漫型眼眶炎性假瘤15例19眼，应用甲泼尼龙静脉冲击治疗，给予甲泼尼龙琥珀酸钠0.5g加入250mL生理盐水中静脉滴注， 1次/d×3d，再以0.5g 1次/wk×3wk，随后以0.25g 1次/wk×6wk，总疗程10wk，甲泼尼龙总剂量4.5g。同时，从第1次静脉滴注甲泼尼龙冲击治疗开始，应用曲安奈德注射液40mg/mL行第1次患眼眶周注射，每3wk 1次，共2～4次。

结果：完全治愈7例8眼，部分治愈8例11眼，无效0例。在治疗观察中无复发加重表现。

结论：甲泼尼龙冲击联合曲安奈德眶周注射治疗弥漫型眼眶假瘤方法可行、疗效明显、副作用少。

METHODS: Diffuse-type orbital inflammatory pseudotumor in 15 cases(19 eyes)were treated. Intravenous implosive methylprednisolone therapy(0.5g/d)was used in the first 3d, and 0.5g once a week in the following 3wk, ended by 0.25g once a week in the last 6wk, which meant the total dose was 4.5g and the whole course lasted for 10wk. At the same time, peri-orbital injection of triamcinolone acetonide(40mg)was performed once in every 3wk, totally 2-4 times.

RESULTS: Eight eyes from 7 cases were completely cured, 11 eyes from 8 cases were partly cured. No recurrence and severe complications were observed in the treatment duration.

CONCLUSION: Intravenous methylprednisolone combined with peri-orbital injection of triamcinolone acetonide is effective, safe and feasible in treatment of diffuse type orbital pseudotumor with less complications.