某院2015年非外伤玻璃体积血病因及治疗的相关回顾性分析

摘要

Objective To explore the patient data of non traumatic vitreous hemorrhage in ophthalmologic center of Foshan Second People's Hospital in 2015. Methods Hospitalized patients in ophthalmologic center of Foshan Second People's Hospital from January 2015 to December 2015 were retrospectively analyzed."Vitreous hemorrhage"were searched in medical records management system.Rule out injury.Export excel file.Consult the relevant case data for etiological analysis. Results A total of 143 patients with non traumatic vitreous hemorrhage were treated in 2015 with a total of 139 eyes.The gender difference was not obvious.Middle aged and elderly patients were susceptible to the disease.Proportion of primary diseases,diabetic retinopathy,and retinal hole and retinal vein occlusion were 46.9%,20.3% and 14%,respectively.In factors associated with visual acuity after treatment,vitreous surgery,laser and preoperative visual acuity were the related factors. Conclusion It is helpful to judge the distribution of vitreous hemorrhage by paying attention to the distribution ratio of primary disease.Timely vitrectomy and retinal laser photocoagulation have a greater impact on prognosis.%目的：研究佛山市第二人民医院眼科中心2015年非外伤所致玻璃体积血入院的患者资料。方法回顾性分析2015年1～12月期间在佛山市第二人民医院眼科中心的住院患者，以入院诊断为“玻璃体积血”为检索词查阅病历管理系统，排除外伤所致者，导出 Excel 文件，查阅相关病例资料进行病因统计分析。结果2015年共收治非外伤性玻璃体积血患者139例143眼。性别差异不明显，好发于中老年患者。原发疾病占比中，殖性糖尿病视网膜病变，视网膜裂孔及视网膜静脉阻塞，分别为46.9%，20.3%及14.0%。治疗后视力与疾病相关因素中，是否玻璃体手术、激光及术前视力是相关因素。结论注重原发病的分布比率有助于判断玻璃体积血性质，适时的玻璃体切除及视网膜激光光凝对预后影响较大。