我院非外伤性玻璃体积血病因分析

摘要

目的 分析我院非外伤性玻璃体积血的主要病因和特点.方法 回顾性分析2013年1月～2017年12月我院非外伤性玻璃体积血363例(436眼)患者的临床资料,分析其病因及特点.结果 增殖性糖尿病性视网膜病变 (PDR)251眼,视网膜静脉阻塞(RVO)63眼,视网膜裂孔及脱离(RH/RD)33眼,息肉样脉络膜血管病变(PCV) 33眼,以上4种原因共380眼,占87.2％,为非外伤性玻璃体积血的主要病因.男、女患者的玻璃体积血病因构成比较,差异无统计学意义(60.05).PDR在各年龄组中均为首要发病原因,尤其在中年组中占有极大比例,其次为青年组.PDR呈逐年增加趋势.非PDR引起的玻璃体积血中,青年组最常见原因为Eales's病,中老年组则以 RVO最为常见.结论 PDR,RVO、RH/RD及PCV是我院非外伤性玻璃体积血的主要病因.不同年龄组导致玻璃体积血病因各有不同,其中PDR是各年龄组首要病因.PDR呈逐年增加趋势..%Objective To analyze the etiological factors and features of non-traumatic vitreous hemorrhage in our hospital. Methods The clinical data of 436 eyes of 363 patients in our hospital with non-traumatic vitreous hemorrhage from January 2013 to December 2017 was studied for the etiological factors and features. Results Vitreous hemorrhage was found in 251 eyes of proliferative diabetic retinopathy (PDR), 63 eyes of retinal vein occlusion (RVO), 33 eyes of retinal hole or retinal detachment (RH/RD), 33 eyes of polypoidal choroidal vasculopathy (PCV), amounting to 87.2％ of the total eyes. There was no significant difference in etiology of vitreous hemorrhage between male and female patients (P>0.05). PDR was the most common cause in all age groups, especially in the middle age group, followed by the yong group. The number of PDR increased year by year. The most common cause in non-PDR patients in young adults was Eales's disease, in middle and old ages was RVO. Conclusion The main causes of non-traumatic vitreous hemorrhagein our hospital are PDR, RVO, RH/RD and PCV. Different age groups have different causes, among which PDR is the most common cause. The number of PDR increases year by year.