非外伤性玻璃体积血的病因及手术疗效分析

目的分析非外伤性玻璃体积血的常见病因及玻璃体手术疗效。方法回顾分析我院2015年1月至12月住院治疗229例243眼非外伤性玻璃体积血的病因构成、手术方案及预后。结果糖尿病视网膜病变玻璃体积血134眼(55.56%),视网膜静脉阻塞77例(32.37%),孔源性视网膜脱离15眼(5.80%)为非外伤性玻璃体积血的主要原因。结论糖尿病视网膜病变、视网膜静脉阻塞及孔源性视网膜脱离是非外伤性玻璃体积血的主要原因,玻璃体切割术是治疗玻璃体积血的有效方法。

Causes of non-traumatic vitreous hemorrhage and effects of surgical treatment

Objective To analyze the causes of non-traumatic vitreous hemorrhage and the therapeutic effect of vitrectomy.Methods From January 2015 to December 2015,229 patients (243 eyes) hospitalized for non-traumatic vitreous hemorrhage were enrolled in the retrospective analysis.Cause compositions,surgical procedures and prognosis of patients with non-traumatic vitreous hemorrhage were analyzed respectively.Results Proliferative diabetic retinopathy (PDR,134 eyes,55.56％),retinal vein occlusion (RVO,77 eyes,32.37％) and rhegmatogenous retinal detachment (RD,5 eyes,5.80％) were the main causes of non-traumatic vitreous hemorrhage.There was significant difference in visual acuity before and after vitrectomy (P ＜ 0.05).Conclusion PDR,RVO and RD were the main causes of nontraumatic vitreous hemorrhage.Vitrectomy is an effective method for the treatment of vitreous hemorrhage.