视网膜母细胞瘤综合治疗疗效分析

来源 :武汉大学学报(医学版) | 被引量 : 0次 | 上传用户:chenjl12341234
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目的:分析视网膜母细胞瘤(Rb)综合治疗疗效。方法:对2007年11月-2011年5月收治的44例(61只眼)Rb患儿采用化疗、激光、冷冻及眼摘相结合的综合治疗,对其疗效进行回顾分析。结果:61只患眼中A期(5只眼),B期(8只眼),保眼率均为100%,D期(20只眼)保眼率为57.9%,E期(28只眼)保眼率为19.4%。44例患儿中,1例双眼E期患儿死亡,其余均存活。保存的26只患眼中除2只E期患眼无光感,其余患眼均有一定的视力。结论:综合治疗可以提高Rb患者的保眼率及生存质量,并有希望保存患儿的有用视力。 Objective: To analyze the curative effect of retinoblastoma (Rb). Methods: Forty - four patients (61 eyes) with Rb admitted to our hospital from November 2007 to May 2011 were retrospectively analyzed on the basis of combined therapy of chemotherapy, laser, freezing and eye extraction. Results: Among 61 eyes, there were 5 eyes (A), 8 eyes (B), 100% coverage of eyeballs, 57.9% of eyes in stage D (28 eyes), 28 eyes The total coverage rate was 19.4%. Among the 44 children, 1 patient with binocular E died. All survived. Preserved 26 patients with eyes in addition to two E-phase eyes without feeling of light, the rest of the eyes have a certain degree of vision. Conclusion: The comprehensive treatment can improve the eye-holding rate and quality of life of patients with Rb, and there is hope to save the useful vision of children.
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