玻璃体积血手术治疗临床分析

Clinical Analysis of Vitreous Hemorrhage Treated with Operation

目的探讨玻璃体切除术治疗玻璃体积血的疗效。方法用玻璃体切除术治疗玻璃体积血98例(110眼);分析玻璃体积血的病因,并观察玻璃体切除术后视力的变化。结果本组引起玻璃体积血的原因主要为糖尿病视网膜病变、外伤、视网膜静脉周围炎、视网膜静脉阻塞以及原发性视网膜裂孔。术后视力增加者78例(80%)83眼,无提高者12例(12%)15眼,下降者8例(8%)12眼。结论反复发作不能吸收的玻璃体积血应尽早行玻璃体切除术。

Objective To explore the curative effect of vitreous hemorrhage treated with vitrectomy. Methods 98 cases （110 eyes） of vitreous hemorrhage were treated with vitrectomy; the causes of vitreous hemorrhage were analysed and the change of eyesight after vitrectorny were observed. Results The main causes of vitreous hemorrhage included diabetic retinopathy, trauma, retinal periphlebitis, retinal vein occlusion and primary retinal hole. Postoperative visions were improved in 78 cases （83 eyes）, unchanged inl2 cases （15 eyes） and decreased in 8 cases （12 cases）. Conclusions Patients with recurrent and non-absorbable vitreous hemorrhage should receive vitrectomy as soon as possible.