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为探讨玻璃体猪囊尾蚴病的临床分型和手术方法，根据玻璃体猪囊尾蚴虫体的活动度和玻璃体视网膜增殖变化程度分单纯型和增殖型，并采用玻璃体切割术摘除虫体和切割增殖病变组织。结果８例８眼玻璃体猪囊尾蚴病中，２眼单纯型，６眼增殖型，均成功摘除虫体，切除视轴区增殖病变组织。单纯型较增殖型效果好。术后色素膜炎症反应和视网膜脱离是引起增殖型效果差的主要原因。结论该分类方法基本反映了玻璃体内猪囊尾蚴对眼球损害情况和临床特点。玻璃切割术是治疗玻璃体内猪囊尾蚴病的安全有效方法。
In order to explore the clinical classification and operation method of vitreous cysticercosis, according to the activity of vitreous cysticercosis and the degree of vitreoretinal proliferation, the types of pure and proliferative cells were divided into three groups: vitrectomy and extirpation organization. Results Among 8 cases of 8 cases of vitreous cysticercosis, 2 eyes were simple type and 6 eyes were proliferative. All the animals were successfully removed and proliferated in the optic axis. Pure type is better than proliferation type. Postoperative inflammatory reaction and retinal detachment is the main reason causing poor proliferative effect. Conclusion The classification method basically reflects the intraocular cysticercus cellulosae eye damage and clinical features. Glass cutting is a safe and effective method for the treatment of intravitreal cysticercosis.