CAJ | 학술논문

目的：探讨玻璃体积血的保守治疗及手术治疗两种方法的适应证及治疗效果。 　　方法：记录我院2008/2013年玻璃体积血患者的积血原因、病情程度、治疗手段、最终效果,并对不同治疗方法的疗效进行对比分析。 　　结果：选取22例24眼保守治疗的患者中有6眼(25%)视力程度不同的提高,5眼(21%)发生继发性视网膜脱离未行治疗,3眼(12.5%)出现新生血管性青光眼而行冷冻或减压阀植入,眼球状态稳定但视力完全消失,手术组26例31眼中视力提高17眼(55%),第二次手术2眼(6.5%),第3次手术2眼(6.5%),眼球萎缩3眼(10%)。保守治疗的最终视力提高例数明显低于手术治疗的患者(P<0.05)。 　　结论：手术治疗仍是玻璃体积血治疗的积极手段,但会出现眼球萎缩等严重并发症,因此应根据不同的治疗对象及治疗时机选择不同的治疗方法。
목적：탐토파리체적혈적보수치료급수술치료량충방법적괄응증급치료효과。 　　방법：기록아원2008/2013년파리체적혈환자적적혈원인、병정정도、치료수단、최종효과,병대불동치료방법적료효진행대비분석。 　　결과：선취22례24안보수치료적환자중유6안(25%)시력정도불동적제고,5안(21%)발생계발성시망막탈리미행치료,3안(12.5%)출현신생혈관성청광안이행냉동혹감압벌식입,안구상태은정단시력완전소실,수술조26례31안중시력제고17안(55%),제이차수술2안(6.5%),제3차수술2안(6.5%),안구위축3안(10%)。보수치료적최종시력제고례수명현저우수술치료적환자(P<0.05)。 　　결론：수술치료잉시파리체적혈치료적적겁수단,단회출현안구위축등엄중병발증,인차응근거불동적치료대상급치료시궤선택불동적치료방법。
AIM: To investigate the indications and therapeutic effect of the conservative treatment and surgical treatment for vitreous hemorrhage. METHODS: Hemorrhage reasons, degree of illness, and treatment and final results of vitreous hemorrhage were recorded from 2008 to 2013, and curative effect of different treatments was analyzed. RESULTS:Selected 22 cases ( 24 eyes ) of conservative treatment, vision degree of 6 eyes ( 25%) had raised, 5 eyes ( 21%) occurred secondary retinal detachment without treatment, 3 eyes (12. 5%) suffered neovascular glaucoma were underwent operation, but the vision had lost completely. In 26 cases ( 31 eyes ) of control (operation) group, vision of 17 eyes (55%) had improved, 2 eyes (6. 5%) suffered the second operation, 2 eyes (6. 5%) suffered the third surgery, 3 eyes (10%) suffered eyeball atrophy. The number of ultimate vision improved with conservative treatment were significantly lower than the number of cases with surgical treatment (P<0. 05). CONCLUSION: The surgical treatment is still visible vitreous hemorrhage treatment means of positive, but there will be eyeball atrophy and other serious complications, so we should choose a different methods in according to the different treatment objects and treatment time.