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治疗视网膜母细胞瘤多年来最常用的方法是眼球摘除,单眼患儿摘除患眼,双眼患儿摘除较严重的一眼。随着保守疗法的巧妙发挥,现在患眼常可挽救,且保留有用视力。为强调这种趋势,根据治疗324例的经验,介绍现行的方法,概述治疗的指征,指出有关眼球摘除、光凝、冷冻和放射疗法对治疗本病所起作用的许多错误观念,简述一些与视网膜母细胞瘤遗传学有关的最新发现,认为这些研究途径可改进对该病的治疗。
Treatment of retinoblastoma over the years the most common method is enucleation, monocular removal of eyes, children with both eyes removed more serious one. As the conservative treatment of clever play, now often can be saved, and retain useful eyesight. To highlight this trend, based on the experiences of 324 patients, we introduce the current methods, summarize the indications for treatment, and point out many misconceptions about the role of enucleation, photocoagulation, freezing and radiotherapy in the treatment of this disease. Some recent findings related to the genetics of retinoblastoma suggest that these approaches may improve the treatment of this disease.