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近十余年来,视网膜母细胞瘤(RB)的治疗有了新的进展。治疗的目的是保存生命,保留眼球及有用视力。因此目前趋向于保守治疗。如果肿瘤的大小和位置能够允许视力发育,则不摘除眼球。选择非手术治疗并不一定导致死亡率增加。在保守治疗时,应仔细检查病人,早期和确切的诊断无疑是很重要的。在全麻下,应用间接眼底镜,巩膜压陷等方法,可以早期发现位於周边部视网膜的小肿物。Ellsworth观察75％肿瘤是位於赤道部前。对于有RB家族史的婴幼儿应从6周起检查眼底,以后逐渐增加眼底检查的间隔时间。
For more than ten years, the treatment of retinoblastoma (RB) has made new progress. The purpose of treatment is to save the life, to retain the eye and useful vision. So now tend to conservative treatment. If the tumor is sized and positioned to allow visual development, the eye is not removed. Choosing non-surgical treatment does not necessarily result in an increase in mortality. In conservative treatment, the patient should be carefully examined. It is undoubtedly important that early diagnosis is accurate. Under general anesthesia, indirect ophthalmoscopy, scleral buckling and other methods can be found in the peripheral retinal small tumor early. Ellsworth observed that 75% of the tumors were located in front of the equator. For infants and children with a family history of RB should check the fundus from 6 weeks later, and gradually increase the fundus examination interval.