增殖型糖尿病性视网膜病变玻切术后再出血原因分析及处理  

Causes and management of rebleeding after vitrectomy for proliferative diabetic retinopathy

作　　者：吕振兴 张风禄 Lv Zhenxing;Zhang Fenglu(Guangming Eye Hospital of Liaocheng City,Shandong Liaocheng 252000)

机构地区：[1]聊城市光明眼科医院,山东聊城252000

出　　处：《中国社区医师》2020年第21期56-56,58,共2页Chinese Community Doctors

摘　　要：目的:研究增殖型糖尿病性视网膜病变玻切术后再出血原因分析及处理。方法:选取2017年1月-2019年5月增殖型糖尿病性视网膜病变玻切术后再出血患者40例,分析再出血的原因,同时采取有效的处理对策。结果:激光量不足、取出硅油、白内障手术后、新生血管性青光眼、纤维血管膜残端、视网膜新生血管及视网膜中央静脉阻塞等均是导致术后再出血的原因。实施睫状体冷冻、周边视网膜冷冻、注入硅油、再玻切、内激光、剥膜、灌洗及激光视网膜光凝等相关治疗可有效预防术后再出血。结论:导致增殖型糖尿病性视网膜病变玻切术后出现再出血的原因十分复杂,为降低术后再出血发生率,需实施针对性治疗。Objective:To explore the causes and management of rebleeding after vitrectomy for proliferative diabetic retinopathy.Methods:From January 2017 to May 2019,40 patients with rebleeding after vitrectomy for proliferative diabetic retinopathy were selected.We analyzed the causes of rebleeding and took effective countermeasures.Results:The causes of postoperative rebleeding included insufficient laser volume,silicone oil removal,cataract surgery,neovascular glaucoma,fibrous vascular membrane stump,retinal neovascularization and central retinal vein occlusion.The treatment of cryosurgery of ciliary body,cryosurgery of peripheral retina,silicone oil injection,re vitrification,internal laser,membrane peeling,irrigation and laser photocoagulation of retina can effectively prevent postoperative rebleeding.Conclusion:The causes of rebleeding after vitrectomy for proliferative diabetic retinopathy are complex,in order to reduce the incidence of postoperative rebleeding,targeted treatment is needed.

关 键 词：增殖型糖尿病性视网膜病变 玻璃体切除手术 再出血 处理对策 

分 类 号：R779.6[医药卫生—眼科] R587.2[医药卫生—临床医学]