微创玻璃体切除手术中脉络膜上腔出血原因分析  

Analysis of the causes of suprachoroidal hemorrhage during 23-gauge vitrectomy

作　　者：冯超[1] 张睿[1] 李祥芸[1] 吴建华[1] 徐冲[1] 

机构地区：[1]武汉爱尔眼科医院眼底病科,武汉430064

出　　处：《中华眼外伤职业眼病杂志》2017年第5期385-388,共4页Chinese Journal of Ocular Trauma and Occupational Eye Disease

基　　金：武汉市卫生计生科研基金（WX16E03）基金项目：爱尔眼科医院集团科研基金（AFl601D3）

摘　　要：目的分析23G无自闭阀玻璃体切除手术中出现脉络膜上腔出血（suprachoroidal hemorrhage, SCH）的原因以及相关危险因素。方法收集2012年7月至2016年7月玻璃体切除手术4981例（4981眼）的临床资料，回顾性分析SCH的原因及相关危险因素。结果23G无自闭阀玻璃体切除手术中发生SCH9例（9眼，0．18％），其中男6例、女3例，年龄30—75岁，平均（58．384-17．67）岁。与对照组（同期手术未发生SCH者）相比，SCH组患者在年龄、术前视网膜脱离范围以及术中出现眼压明显波动者3个方面差异有统计学意义（P=0．031，0．024，0．002）。结论年龄、视网膜脱离范围及术中出现眼压明显波动是23G无自闭阀玻璃体切除手术中发生SCH的危险因素。Objective To analyze the cause and related risk factors of suprachoroidal hemorrhage （SCH） during 23-gauge vitrectomy without self closing valve. Methods Total of 4981 eyes of 4981 patients underwent vitrectomy from Jul. 2012 to Jul. 2016 were selected and analyzed retrospectively. The cause and related risk factors of SCH were analyzed. Results During 23-gauge vitrectomy without self closing valve, SCH occurred in 9 eyes of 9 cases （0.18%）. Among them, 6 cases were male and 3 cases were female. The mean age was （58.38 ＋ 17.67 ） years. There were significant diffenrence between SCH group and control group in age （ P = 0. 031 ）, range of retinal detachment （ P = 0. 024 ） and intraocular pressure obvious fluctuations during vitrectomy （ P = 0. 002）. Conclusion The risk factors of SCH during 23-gauge vitrectomy without self closing valve are age, range of retinal detachment and intraocular pressure abnormity.

关 键 词：出血 脉络膜上腔 玻离体切除术 23 G 无自闭阀 因素 危险 

分 类 号：R779.6[医药卫生—眼科]