苏州市玻璃体积血的临床病因分析

目的:探讨苏州市不同年龄组玻璃体积血的常见病因,为疾病预防提供依据。方法:对在2009年~2011年住我院的287例295眼玻璃体积血患者的临床资料进行回顾性分析。结果:在所有玻璃体积血患者中,糖尿病性视网膜病变(diabetic retinopathy,DRP)111例(38.7%),眼外伤60例(20.9%),视网膜静脉阻塞(retinal vein occlusion,RVO)59例(20.6%),孔源性视网膜脱离(rhegmatogenous retinal detachment,RRD)32例(11.1%)。年龄<45岁的青年组中,眼外伤导致的玻璃体积血最多,为36例(48.6%),其次为DRP 26例(35.1%),视网膜血管炎(retinal vasculitis,RV)10例(13.5%)。45~59岁中年组中,DRP导致玻璃体积血最多,为61例(50.8%),其次为RVO 20例(16.7%)、眼外伤17例(14.2%)、RRD 16例(13.3%)。≥60岁老年组中,RVO导致玻璃体积血最多,为38例(40.9%),其次为DRP 24例(25.8%),RRD 15例(16.1%)。结论:DRP、眼外伤、RVO、RRD是引起玻璃体积血最常见的病因。青年患者的主要病因是眼外伤、DRP和RV,而中老年患者的主要病因是DRP及RVO。

Analysis of the Clinical Causes of Vitreous Hemorrhage in Suzhou

Objective: To investigate the cause of vitreous hemorrhage in different age groups in Suzhou and provide preventive measures.Methods: The clinical data of 295 eyes of 287 patients with vitreous hemorrhage were followed up and analyzed between 2009 and 2011.Results: Of all the causes,diabetic retinopathy(DRP) was the principal cause(111 patients,38.7%),ocular trauma(60 patients,20.9%),retinal vein occlusion(RVO,59 patients,20.6%),rhegmatogenous retinal detachment(RRD,32 patients,11.1%).In youth group(<45 year old),the principal cause was ocular trauma(36 patients,48.6%),the second was DRP(26 patients,35.1%),the third was RV(10 patients,13.5%).In middle-aged group(45~59 year old),DRP was the principal cause(61 patients,50.8%),next was RVO(20 pa-tients,16.7%),ocular trauma(17 patients,14.2%),RRD(16 patients,13.3%).In old group(≥60 years old),RVO was the principal cause(38 patients,40.9%),the second was DRP(24 patients,25.8%),the third was RRD(15 patients,16.1%).Conclusion: DRP,ocular trauma,RVO and RRD are the main causes of the vitreous hemorrhage.Ocular trauma,DRP and RV are principal causes in youth group.DRP and RVO are the main causes in middle-aged and old groups.