非外伤性玻璃体积血的病因及手术疗效分析  

Causes of non-traumatic vitreous hemorrhage and effects of surgical treatment

作　　者：王旭川[1] 盛艳娟[2] 王玉[2] WANG Xuchuan SHENG Yah- juan WANG Yu(Weifang Medical University, Weifang 261042, Shandong, China The Second People＇s Hospital of Jinan City, Jinan 250100, Shandong, China)

机构地区：[1]潍坊医学院,山东潍坊261042 [2]济南市第二人民医院,山东济南250100

出　　处：《山东大学耳鼻喉眼学报》2017年第1期107-109,共3页Journal of Otolaryngology and Ophthalmology of Shandong University

摘　　要：目的分析非外伤性玻璃体积血的常见病因及玻璃体手术疗效。方法回顾分析我院2015年1月至12月住院治疗229例243眼非外伤性玻璃体积血的病因构成、手术方案及预后。结果糖尿病视网膜病变玻璃体积血134眼(55.56%),视网膜静脉阻塞77例(32.37%),孔源性视网膜脱离15眼(5.80%)为非外伤性玻璃体积血的主要原因。结论糖尿病视网膜病变、视网膜静脉阻塞及孔源性视网膜脱离是非外伤性玻璃体积血的主要原因,玻璃体切割术是治疗玻璃体积血的有效方法。Objective To analyze the causes of non-traumatic vitreous hemorrhage and the therapeutic effect of vitrectomy. Methods From January 2015 to December 2015,229 patients（ 243 eyes） hospitalized for non-traumatic vitreous hemorrhage were enrolled in the retrospective analysis. Cause compositions,surgical procedures and prognosis of patients with non-traumatic vitreous hemorrhage were analyzed respectively. Results Proliferative diabetic retinopathy（ PDR,134 eyes,55. 56%）,retinal vein occlusion（ RVO,77 eyes,32. 37%） and rhegmatogenous retinal detachment（ RD,5 eyes,5. 80%） were the main causes of non-traumatic vitreous hemorrhage. There was significant difference in visual acuity before and after vitrectomy（ P〈0. 05）. Conclusion PDR,RVO and RD were the main causes of nontraumatic vitreous hemorrhage. Vitrectomy is an effective method for the treatment of vitreous hemorrhage.

关 键 词：玻璃体积血 病因 玻璃体切割术 

分 类 号：R774.5[医药卫生—眼科]