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目的:了解玻璃体切除术治疗非外伤性玻璃体出血的疗效和并发症。方法:回顾性分析1997 年5月至1998 年12月我科玻璃体切除术治疗并随访的43例患者情况。结果:91% 视力有提高,非糖尿病视网膜病变组视力好于糖尿病视网膜病变组(P< 0.01);主要的并发症有白内障、医源性裂孔、视网膜脱离。结论:玻璃体切除术为明显改善非外伤性玻璃体出血患者视力的治疗手段,小心操作可减少并发症发生。
Objective: To understand the efficacy and complications of vitrectomy for non-traumatic vitreous hemorrhage. Methods: The clinical data of 43 patients who underwent vitrectomy and follow-up from May 1997 to December 1998 were retrospectively analyzed. Results: The visual acuity was improved in 91% of cases, and the visual acuity of non-diabetic retinopathy was better than that of diabetic retinopathy (P <0.01). The main complications were cataract, iatrogenic hiatus and retinal detachment. Conclusion: The vitrectomy is the treatment method of visual acuity in patients with non traumatic vitreous hemorrhage. Careful operation can reduce the complication.