摘要:目的 探讨首发症状为玻璃体积血病例的荧光素眼底血管造影(FFA)与眼B超联合诊断价值.方法 回顾性分析首发症状为玻璃体积血病例121例121只眼,经FFA与眼B超检查,明确诊断玻璃体积血原因为视网膜分支静脉阻塞(BRVO)与视网膜裂孔病例的临床资料.结果 121例中,诊断为BRVO合并视网膜新生血管76例,占62.81%.其中颞上BRVO 39例,占51.32%;颞下BRVO 12例,占15.79%.鼻上BRVO 17例,占22.37%;鼻下BRVO 8例,占10.53%.76只眼FFA均发现大小、数量不等的视网膜新生血管.B超提示:伴增殖膜10例,占13.16%;继发视网膜脱离7例,占9.21%;伴玻璃体后脱离19例,占25%;诊断为视网膜裂孔45例,占37.19%.其中颞侧、颞上孔29例,占64.45%.颞下孔11例,占24.44%;鼻侧5例,占11.11%.B超提示:视网膜裂孔29例,占64.44%;继发视网膜脱离10只眼,占22.22%;伴玻璃体后脱离33例,占73.33%.FFA发现裂孔边缘小血管壁着染34例,占75.56%.结论 对于首发症状为玻璃体积血病例,荧光素眼底血管造影与眼B超联合诊断,能够更准确地确定玻璃体积血病因,具有重要的诊断价值.%Objective To investigate the diagnostic value of fundus fluorescein angiography and ocular B ultrasound in the cases of the first symptom to vitreous hemorrhage.Methods Retrospective analysis of the clinical data of 121 cases and 121 eyes that were diagnosed with BRVO and retinal tears as the first symptom to vitreous hemorrhage by the FFA and ocular B ultrasound.Results In 121 cases,BRVO combined retinal neovascularization 76 cases,accounted for 62.81%,temporal BRVO 39 cases,accounted for 51.32%,infratemporal BRVO 12 cases,accounted for 15.79%,the nose on BRVO 17 patients,accounted for 22.37%,nose BRVO 8 cases,accounted for 10.53%.Size,ranging from the number of retinal neovascularizations was found in 76 cases by FFA.B ultrasound indicated that with the proliferation of film 10 cases,accotmted for 13.16%,with retinal detachment 7 cases,accounted for 9.21%,with vitreous detachment 19 cases accounted for 25%; diagnosis of retinal breaks in 45 cases,accounted for 37.19%,the temporal side temporal hole 29 cases,accounted for 64.45%,the infratemporal hole 11 cases,accounted for 24.45%,five cases of nasal accounted for 11.11%; the retinal breaks 29 cases,accounted for 64.45%,retinal detachment 10 cases,accounted for 22.22%.With vitreous detachment 33 cases,accounted for 73.33%,with the hole,the edge of a small blood vessel walls stained found by FFA 34 cases,accounted for 75.56%.Conclusions For the first symptom to vitreous hemorrhage,the diagnosis of fundus fluorescein angiography and ocular B ultrasound is able to more accurately determine the cause of vitreous hemorrhage and has important diagnostic value.