玻璃体切除术治疗玻璃体积血临床效果分析  

Clinical analysis of vitrectomy treating vitreous hemorrhoages.

作　　者：王卫红[1] 

机构地区：[1]遵义医学院附属医院眼科,贵州遵义563003

出　　处：《眼外伤职业眼病杂志》2007年第4期289-291,共3页Journal of Injuries and Occupational Diseases of the Eye with Ophthalmic Surgeries

摘　　要：目的探讨玻璃体切除术治疗玻璃体积血的临床疗效。方法采用玻璃体切除术治疗的玻璃体积血58例(58眼)。分析玻璃体积血的病因,并观察玻璃体切除术后视力变化和并发症。结果本组主要病因为视网膜静脉阻塞和视网膜静脉周围炎;视力在0.01-0.05者术前为6眼(10.35%),术后1周为35眼(60.35%),随访2-4月的50例中为33眼(66.00%)。术中并发症有医源性裂孔和眼内出血;术后并发症有玻璃体再次积血,视网膜脱离,晶状体浑浊等。结论对药物治疗不能吸收的玻璃体积血施行玻璃体切除术后视力可显著提高,术中术后并发症少。Objective To discuss the clinical effect of vitrectomy treating vitreous hemorrhages. Methods 58 cases of vitreous hemorrhages were treated with vitrectomy and analysed causes of hemorrhages, vision and complications were observed after vitrectomy. Results The causes of vitreous hemorrhage were refinal vein occlusion and retinal periphlebitis. Vision was 0. 01 ～ 0. 05 in 6 eyes（ 10.35% ） prepperatively, 35 eyes （60.35%） postoperatively and 33 eyes（66.00%,） of 50 cases which were followed up for 2 to 4 monthes. Complications in operation were iatrogeic tear and endocular hemorrhages. Postoperative complications were repeated vitreous hemorrhages retinal detachment and lens opacity. Conclusions Vitreous hemorrhages which were not cured by medicine can be treated with vitrectomy. Postoperative vision can be increased obviously. Complications in operation and after operation are little appeared.

关 键 词：玻璃体切除术 玻璃体积血 

分 类 号：R779.6[医药卫生—眼科]