摘要
目的 探讨玻璃体积血的病因及临床特点.方法 回顾性分析2020年1月至2022年12月我院眼底病科收治的玻璃体积血的患者217例(252眼)病例资料.结果 217例(252眼)中,玻璃体积血主要致病原因分别是:PDR(52.8％)、RVO 54 眼(21.4％)、眼外伤 33 眼(13.1％);男性患者病因依次 PDR(47.2％)、RVO(23.9％)、眼外伤(14.5％)、RD/RT(5.7％)、Ealse(2.5％)、视网膜劈裂(0.6％)、视网膜坏死(0.6％)等;女性患者 VH 病因:PDR(62.4％)、RVO(17.2％)、眼外伤(10.8％)、RD/RT(6.5％)、PCV(3.2％),青年组患者以眼外伤主要病因,老年组PDR为首要病因41眼(53.4％).结论 玻璃体积血主要三大病因为:PDR、RV O及眼外伤,不同性别及不同年龄患者的玻璃体积血病因构成均有显著差异,青年患者以眼外伤为主要病因,中老年患者则以PDR及RVO为主要病因.
Abstract
Objective To investigate the etiology and clinical features of a vitreous hemorrhage.Methods A retro-spective analysis was performed for the data of 217 cases(252 eyes)of the vigorous hemorrhage admitted to the Our hos-pital's department of Fundus Ophthalmology of the Joint Logistics Support Force from January 2020 to December 2022.Results Among the 217 cases(252 eyes),the main causes of vitreous hemorrhage were PDR(52.8％),RVO 54 eyes(21.4％)and ocular trauma in 33 eyes(13.1％).The causes of male patients were PDR(47.2％),RVO(23.9％),ocular trauma(14.5％),RD/RT(5.7％),Ealsle(2.5％),retinal clef(0.6％),etc.Causes of VH in female patients:PDR(62.4％),RVO(17.2％),ocular trauma(10.8％),RD/RT(6.5％),PCV(3.2％),the main cause of ocular trauma in the young group and PDR in the elderly group were the primary cause of 41 eyes(53.4％).Conclusion The three main causes of vitreous hemorrhage are PDR,RVO and ocular trauma and the etiological composition of vitreous hemorrhage in patients of different genders and ages is significantly different,with ocular trauma being the main cause in young patients and PDR and RVO as the main cause in middle-aged and elderly patients.
维普
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