摘要
目的探讨非外伤性玻璃体积血的发病原因及其治疗效果。方法对120例非外伤性玻璃体积血患眼进行手术治疗,治疗前均进行B超和视力检查,玻璃体切割术中确认玻璃体积血原因,根据病变情况及范围进行激光或视网膜复位治疗。结果 120例玻璃体积血患眼中,增殖期糖尿病视网膜病变78例;视网膜裂孔(伴或不伴视网膜脱离)23例;视网膜静脉阻塞11例;年龄相关性黄斑变性7例;急性视网膜坏死综合征1例。经过治疗并对比观察术前B超检查结果,完全性玻璃体后脱离B超检测阳性符合率91.30%,视网膜脱离B超检测阳性符合率89.36%,视网膜前增殖膜B超检测阳性符合率99.21%,黄斑区出血B超检测阳性符合率94.74%。治疗后视力为0.237±0.025,与治疗前视力0.039±0.080相比有明显提高(P<0.001)。治疗后视力恢复水平与发病原因及病程呈线性回归相关(均为P<0.05),与年龄、性别、眼别、术前视力以及并发症无关(均为P>0.05)。结论非外伤性玻璃体积血的病因多种多样,B超检查对于初步判断玻璃体积血的原因有一定帮助,玻璃体切割术是治疗玻璃体积血的有效手段。
Objective To analyze the etiopathogenisis and curative effects of non-traumatic vitreous hemorrhage. Methods A total of 120 consecutive patients with non-traumatic vitreous received the surgical treatment, B-scan and visual acuity exami- nation were performed before treatment, the etiopathogenisis of vitreous hemorrhage was determined in vitrectomy. The photocoagulation and retinal reattachment surgery were made. Results In 120 cases,78 cases were with proliferative diabetic retinopa- thy,23 cases with retinal holes （accompanied or un-accompanied with retinal detach- ment）, 11 cases with retinal vein occlusion,7 cases with age-related macular degenera- tion, 1 case with acute retinal necrosis syndrome. The coincidence rate of diagnosis by B-scan for Whole posterior vitreous detachment was 91.30% , retinal detachment was 89.36% , anterior retinal prolij[erative membrane was 99.21% , and macular abnormal bulge was 94, 74%. Postoperative visual acuity was 0.237 ±0.025, which was obviously higher than preoperative visual acuity （ 0. 039 ±0. 080 ）, there was significant difference （All P 〈0. 001 ）. The postoperative visual acuity were linear regression correlated with etiopathogenisis and disease duration （ All P 〈 0.05 ）, but not correlated with age, gen- der, eye side, preoperative visual acuity and complication （ P 〉 0.05 ）. Coaelusion The etiopathogenisis of non-traumatic vitreous hemorrhage are complicated, B-scan isan effective tool for diagnosing non-traumatic vitreous hemorrhage, the vitrectomy is the effective treatment manner for vit- reous hemorrhage.
出处
《眼科新进展》
CAS
北大核心
2013年第1期44-47,共4页
Recent Advances in Ophthalmology
