目的 :回顾和评价眶脂肪脱出术治疗甲状腺相关眼病眼球突出的疗效。方法 :经眼睑或结膜切口入路 ,切除肌肉圆锥内、外的脂肪 ,达到降低眶压 ,减少眼球突出度的目的。结果 :切除眶脂肪 1 5～ 11ml,平均 3 9ml,矫正眼球突出度 2～ 6mm ,平均 3 1mm。该治疗副作用很少 ,不影响视力及眼球运动 ,与提上睑肌延长术联合效果更佳。结论 :眶脂肪脱出术可以缓解眼球突出 ,是治疗甲状腺相关眼病性突眼的有效方法 Objective: To review and evaluate the efficacy of orbital fat extraction for the treatment of prominent thyroid associated ophthalmopathy. Methods: The eyelid or conjunctival incision approach, removal of muscle taper inside and outside the fat, to reduce orbit pressure, reduce the purpose of the degree of eyeball protrusion. Results: Excision of orbital fat 15 ~ 11ml, an average of 39ml, correction of eyeball protrusion 2 ~ 6mm, an average of 31mm. The treatment has few side effects, does not affect the vision and eye movements, combined with levator ani lengthening effect is better. CONCLUSIONS: Orbital fat prolapse can relieve the eyeball protrusion and is an effective method for the treatment of thyroid-related ophthalmic exophthalmos