48例Terson综合征临床分析  

Clinical analysis of 48 cases Terson syndrome

作　　者：李强[1] 张铁英[1] 任芝莉[1] 

机构地区：[1]广州市花都区人民医院眼科,510800

出　　处：《临床眼科杂志》2012年第4期362-363,共2页Journal of Clinical Ophthalmology

摘　　要：目的探讨Terson综合征的诊断、鉴别诊断及治疗。方法回顾性研究2006至2010年确诊的Ter-son综合征48例,分析其临床特点、实验室检查、影像学表现、治疗效果及预后。结果 48例患者中45例接受手术,其中25例为发病2个月内治疗,治疗上早期使用玻璃体切除加眼内激光光凝术及气液交换术效果满意,另外20例于发病2个月后手术,结果术后视力恢复较差。术后3个月视力回复到0.3以上者前组为21例,后组为0例,两组经过t检验P值﹤0.05,有统计学意义。而3例未接受手术患者经复方血栓通、沃丽汀等保守治疗后视力有一定程度提高,但玻璃体混浊无法完全清除。结论 Terson综合征是由于颅内压增高引起玻璃体积血,B超检查有价值,早期使用玻璃体切除术加眼内激光光凝术,必要时加气液交换术及硅油填充术效果满意。Objective To explore the diagnosis differential diagnosis, and treatment of the disease of Terson syn- drome. Methods Retrospective study 2006 - 2010 diagnosed Terson syndrome 48 patients, analysis the clinical character- istics, laboratory examination and imaging manifestations, treatment effect and prognosis. Results 45 patients undergo sur- gery, including 25 cases for two months of treatment, the treatment on use vitreous resection with early in the eye laser pho- tocoagulation art and gas to liquid exchange with satifactory effect was another 20 cases in the 2 months after surgery, Re- suits the poor eyesight recovered. At 3 months back to 0.3 or more ago vision of 21 cases, for example, the group after two groups after 0 t test 〈 P value of 0. 05, statistical significance. And 3 cases of surgical patients did not receive the com- pound thrombosis, such as the WoLiTing conservative vision after treatment with a certain degree, but the vitreous opacity improve not entirely clear. Conclusion Tersen syndrome is caused due to the increased intracranial pressure vitreous hem- orrhage, B ultrasonic examination have diagnosis value. Early vitrectomy with intraocuiar laser photecoagulation and, when necessary, gas fluid exchange and silicone oil filling operation is an effective treatment.

关 键 词：蛛网膜下腔出血 颅内压增高 玻璃体积血 玻璃体切割 

分 类 号：R779.6[医药卫生—眼科]