玻璃体积血的病因分析

发布时间：2019-04-08 17:39

【摘要】：目的:分析我院126例玻璃体积血患者的病因,探讨玻璃体积血病因与性别及年龄的相关性,为选择合理的治疗方法提供依据。方法:对我院2005年6月~2010年3月期间以玻璃体积血为首诊的126例(130只眼)住院患者的病例资料进行回顾性分析。结果:在所有玻璃体积血的患者中,增殖型糖尿病视网膜病变(PDR)引起者最多54例(42.86%),眼外伤次之37例(29.37%),视网膜静脉周围炎和静脉阻塞(RVO)引起者分别为8例(6.35%)、15例(11.90%)。76例男性患者中眼外伤引起玻璃体积血者占首位30例(39.47%),其次为PDR 27例(35.53%),再次为RVO 7例(9.21%),视网膜静脉周围炎6例8只眼(7.89%)。50例女性患者中PDR 27例(54.00%),RVO 8例(16.00%),眼外伤7例(14.00%),视网膜静脉周围炎2例(4.00%)。男女病因构成存在统计学差异(χ2=18.21,p0.05)。44岁以下的青年患者中,眼外伤及视网膜静脉周围炎患者占多数,分别为25例(55.56%)、8例10只眼(17.78%),PDR 6例(13.33%)。45岁~59岁中年患者中,PDR 21例22只眼(56.76%),眼外伤者7例(18.92%),RVO 6例(16.22%),三者为该组患者玻璃体积血的主要原因。60岁以上的老年患者中,PDR 27例28只眼(61.36%),眼外伤者5例(11.36%),RVO 7例(15.91%)。各年龄组病因构成存在统计学差异(χ2=81.52,p0.005)。结论:PDR、眼外伤、RVO、视网膜静脉周围炎是引起玻璃体积血最常见的原因;眼外伤、PDR、RVO、视网膜静脉周围炎是男性患者玻璃体积血的主要原因,PDR、RVO、眼外伤是女性患者玻璃体积血的主要原因;眼外伤、视网膜静脉周围炎是44岁以下青年患者玻璃体积血的主要原因。PDR、眼外伤、RVO是45~59岁中年患者玻璃体积血的主要病因。PDR、RVO是60岁以上老年患者玻璃体积血的主要原因。
[Abstract]:Aim: to analyze the etiology of vitreous hemorrhage in 126 patients with vitreous hemorrhage in our hospital, and to explore the relationship between the cause of vitreous hemorrhage and sex and age, so as to provide the basis for selecting a reasonable treatment method. Methods: the clinical data of 126 patients (130 eyes) who were first diagnosed with vitreous blood from June 2005 to March 2010 in our hospital were retrospectively analyzed. Results: of all the patients with vitreous hemorrhage, 54 (42.86%) were (PDR)-induced proliferative diabetic retinopathy, 37 (29.37%) were extraocular injury, and 54 (42.86%) were proliferative diabetic retinopathy, and 37 (29.37%) were extraocular injury. Among the 76 male patients, 30 (39.47%) had vitreous hemorrhage caused by ocular trauma, and 8 (6.35%) and 15 (11.90%) were caused by (RVO) in peripheral retinal vein and vein occlusion, respectively. The second was PDR in 27 cases (35.53%), RVO in 7 cases (9.21%), Periretinal vein inflammation in 8 eyes (7.89%) in 6 cases, PDR in 27 cases (54.00%), RVO in 8 cases, 16.00%) in 50 women. There were 7 cases (14.00%) of ocular trauma and 2 cases (4.00%) of periretinal vein inflammation. Among the young patients under 44 years of age, 25 cases (55.56%) and 8 cases (10 eyes) (17.78%) with ocular trauma and peripheral retinal vein inflammation were found in most of the young patients under the age of 44 years old (蠂 2 = 18.21, p 0.05), and the difference was statistically significant between men and women (蠂 2 / 18.21, p 0.05). Among the middle-aged patients aged 45 ~ 59 years, 22 eyes (56.76%) were PDR, 7 eyes (18.92%), RVO) were extraocular injury, 6 (16.22%) were), RVO, 7 cases (18.92%) were PDR, 22 eyes (56.76%) were PDR, and 6 cases (16.22%) were extraocular injury. Among the elderly patients over 60 years old, 28 eyes (61.36%) of PDR patients and 5 (11.36%) cases (15.91%) of extraocular injuries were diagnosed as vitreous hemorrhage, including 27 cases (61.36%) of PDR and 5 cases (11.36%) (15.91%) of extraocular injury. There were statistical differences among the age groups (蠂 2 = 81.52, p 0.005). Conclusion: the most common cause of vitreous hemorrhage is PDR, 's eye injury and RVO, 's periretinal vein periarthritis. Ocular trauma, PDR,RVO, retinal vein periarthritis is the main cause of vitreous hemorrhage in male patients, and PDR,RVO, ocular trauma is the main cause of vitreous hemorrhage in female patients. Ocular trauma, periretinal vein inflammation is the main cause of vitreous hemorrhage in young patients under 44 years old. PDR, ocular trauma, and RVO are the main causes of vitreous hemorrhage in 45-59-year-old middle-aged patients. RVO is the main cause of vitreous hemorrhage in elderly patients over 60 years old.
【学位授予单位】：吉林大学
【学位级别】：硕士
【学位授予年份】：2011
【分类号】：R776.4

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