王建仓 等 中华眼视光学与视觉科学
【摘要】 目的 总结早期视网膜母细胞瘤激光光凝治疗的初步疗效。方法 回顾性病例研究。收集2012年5月至2012年8月4例（4眼）在我科确诊为早期视网膜母细胞瘤（RB）的患儿，住院且行局部激光光凝治疗，随访6~12个月。4例患儿中男3例，女1例。就诊年龄最小2个月，最大1岁。其中1例有家族史，其余3例为散发病例。4例肿瘤距离黄斑>3.0 mm，距离视神经>1.5 mm，均没有玻璃体或视网膜下的种植，肿瘤直径均≤3.0 mm。结果 4例患儿至随访期末肿瘤呈退缩模式。结论 单病灶早期RB可单独使用局部疗法，激光是有效的局部治疗方法。
【关键词】 视网膜母细胞瘤； 肿瘤分期； 激光光凝
DOI：10.3760/cma.j.issn.1674-845X.2014.06.013
作者单位：050000 石家庄，河北省眼科（王建仓、赵敬聪、苏鸣）；100730 眼科中心（赵军阳）
通信作者：王建仓，Email：wangjiancang@sina.com
Analysis of photocoagulation in A stage retinoblastoma Wang Jiancang*， Zhao Jingcong， Zhao Junyang， Su Ming. * Ophthalmology Department， Children Hospital of Hebei Province， Shijiazhuang 050000， China
Corresponding author：Wang Jiancang，Email：wangjiancang@sina.com
【Abstract】 Objective To study the results of photocoagulation in early retinoblastoma （RB）. Methods This was a retrospective case series study. Four photocoagulated patients， including 3 males and 1 female， who were classified as A stage were analyzed. The youngest was 2 months old； the oldest was 1 year old. One patient had a family history. The follow-up period was 6 to 12 months. The tumors were more than 3.0 mm to the fovea and more than 1.5 mm to the optic nerve in the 4 patients. No vitrous and subretina implantation. The diameters of tumors were 3.0 mm or less. Results RB in all patients regressed. Conclusion Photocoagulation is effective in treating A stage RB.
【Key words】 Retinoblastoma； Neoplasm staging； Photocoagulation