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目的 探讨玻璃体积血的形态结构和治疗特点。方法 对 74例 (79只眼 )增生性糖尿病视网膜病变、视网膜血管炎、视网膜静脉阻塞所致玻璃体积血的临床资料进行比较分析。术前超声检查、术中手术显微镜观察患者的玻璃体形态特点 ,分析玻璃体与视网膜的关系。结果 所有患者均有不同程度的玻璃体后脱离 ,根据图像的形态特征可归纳为完全后脱离和部分后脱离两种。部分后脱离又分为“V”型、“L”型及后部玻璃体劈裂型 ,劈裂型多见于视网膜缺血性疾病的增生期。结论了解和掌握玻璃体后脱离及玻璃体劈裂的形态特点 ,可提高手术治疗的成功率并改善其预后。
Objective To investigate the morphological structure and therapeutic characteristics of vitreous hemorrhage. Methods The clinical data of 74 cases (79 eyes) with proliferative diabetic retinopathy, retinal vasculitis and vitreous hemorrhage caused by retinal vein occlusion were compared and analyzed. Preoperative ultrasonography, intraoperative intraoperative microscopic observation of patients with vitreous morphological characteristics, analysis of the relationship between the vitreous and the retina. Results All patients had different degrees of posterior vitreous detachment, according to the morphological characteristics of the image can be divided into two kinds of complete detachment and partial detachment. Part of the detachment is divided into “V” type, “L” type and posterior vitreous splitting type, more common in the retinal ischemic retinal proliferative phase disease. Conclusion Understanding and masculine posterior vitreous detachment and vitreous rupture morphological characteristics, can improve the success rate of surgical treatment and improve its prognosis.