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玻璃体切割术治疗玻璃体积血临床疗效观察

刘玉梅1,颜华2   

  1. 1. 天津医科大学总医院
    2. 总医院眼科
  • 收稿日期:2011-03-29 修回日期:2011-04-11 出版日期:2011-06-15 发布日期:2011-06-15
  • 通讯作者: 刘玉梅

  • Received:2011-03-29 Revised:2011-04-11 Published:2011-06-15 Online:2011-06-15

摘要: 目的:观察玻璃体切割术治疗玻璃体积血的疗效。方法:对因玻璃体积血住院手术的患者98例(112眼)进行回顾性研究。采用配对资料的t检验,对因糖尿病视网膜病变、高血压、静脉阻塞、眼外伤及孔源性视网膜脱离导致玻璃体积血行玻切手术患者术前术后视力分别进行比较,并分析术后并发症及处理方法。结果:术后随访6个月以上,112眼中有10眼视力无提高,其余102眼均较术前提高,差异有统计学意义(P<0.05)。术后常见并发症为前房出血、复发性玻璃体积血、眼压升高、并发性白内障及视网膜脱离。结论:玻璃体切割术是治疗玻璃体积血的有效方法,但须注意预防术中及术后并发症。

关键词: 玻璃体积血, 玻璃体切割术, 疗效, 回顾性研究

Abstract: Objective: To observe the therapeutic effect of vitrectomy for vitreous hemorrhage. Methods:ninty-eight inpatients(112 eyes)of vitreous hemorrhage with vitrectomy were analyzed retrospectively. The preoperative vision and pastoperative vision were compared by paired t-test whose eyes with diabetic retinopathy、 retinal vein obstruction、hypertensive fundus hemorrhage、ocular trauma and rhegmatogenous detachment.Then analyze the complication and how to resolve it. Results:Postoperative follow-up was over 6 months.10 eyes had no vision improvem ent,and another 102 eyes had better vision than preoperation, there was a significant difference(P<0.05).The hyphema、 high intraocular pressure intraoperative 、recurrent vitreous hemorrhage,complicated cataract and retinal detachment were common postoperative complications.Conclusion:Vitrectomy is an effective method to treat vitreous hemorrhage,but attention should be paid to the prevention of intraoperative and postoperative complications.

Key words: vitreous hemorrhage, vitrectomy, effect, retrospective studies