内眼手术及外伤术后迟发型脉络膜上腔出血的处理

发布时间：2018-06-01 01:39

本文选题：迟发型脉络膜上腔出血 + 早期干预　；参考：《眼科新进展》2014年12期

【摘要】：目的探讨迟发型脉络膜上腔出血(delayed suprachoriodal haemorrhage,DSCH)的手术相关危险因素,并分析分步手术治疗DSCH的效果。方法分析2007年7月至2012年12月在我院诊断为DSCH的10例(10眼)患者,收集并分析临床数据,包括眼底检查、眼部B超、手术方式的选择、术后视力和眼压等。结果 10例(10眼)患者中男6例,女4例,年龄(56.60±17.67)岁。8例患者行巩膜切开引流术或/和玻璃体切割术,另2例行保守治疗。随访时间为(15.2±4.3)个月。所有患者接受手术后眼压明显降低,视力明显提高,差异均有统计学意义(均为P0.01)。结论术中使用丝裂霉素C,全身使用抗凝剂或溶栓剂及慢性肾病是DSCH的危险因素。一旦确诊为DSCH,早期进行手术干预将会为患者的预后带来更好的视力。
[Abstract]:Objective to investigate the operative risk factors of delayed suprachoriodal haemorrhagege (DSCH) and to analyze the effect of stepwise operation in the treatment of DSCH. Methods from July 2007 to December 2012, 10 patients with DSCH (10 eyes) were analyzed. The clinical data were collected and analyzed, including fundus examination, ophthalmic ultrasound, choice of operation mode, postoperative visual acuity and intraocular pressure. Results among the 10 patients, 6 were male and 4 female, aged 56.60 卤17.67 years. 8 patients underwent scleral incision and drainage or vitrectomy, and 2 patients were treated conservatively. The follow-up time was 15.2 卤4.3 months. The intraocular pressure and visual acuity of all patients were significantly decreased and the difference was statistically significant (P 0.01). Conclusion mitomycin C, anticoagulant or thrombolytic agent and chronic nephropathy are risk factors of DSCH. Once diagnosed with DSCH, early surgical intervention will bring better vision to the patient's prognosis.
【作者单位】：武汉大学人民医院眼科中心;
【分类号】：R779.6

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