摘要
目的探讨玻璃体积血保守治疗与手术治疗的疗效。方法160例玻璃体积血患者,随机分为药物保守治疗组与手术治疗组,每组80例(84眼)。保守治疗组采用地塞米松10 mg+丹参多酚酸盐静脉滴注。手术治疗组采用玻璃体全切术。观察两组疗效。结果手术治疗组显效40例,有效34例,无效6例;保守治疗组显效50例,有效15例,无效15例。手术治疗组治疗总有效率92.50%(74/80)高于保守治疗组的81.25%(65/80),差异有统计学意义(P<0.05)。结论保守治疗无效以及反复发作不能吸收的玻璃体积血应尽早行玻璃体切除术。
Objective To discuss the curative effect of conservative treatment and surgical treatment in patients with vitreous hemorrhage.Methods A total of 160 patients with vitreous hemorrhage were randomly divided into conservative treatment group and surgical treatment group,with 80 cases(84 eyes)in each group.Conservative treatment group was treated by dexamethasone 10 mg combined with intravenous infusion of salvianolate,and the surgical treatment was treated by total vitrectomy.The efficacy of the two groups was observed and compared.Results The surgical treatment group had 40 excellent cases,34 effective cases and 6 ineffective cases,and the conservative treatment group had 50 excellent cases,15 effective cases and 15 ineffective cases.The total effective rate of treatment 92.50%(74/80)of the surgical treatment group was higher than that of the conservative treatment group 81.25%(65/80),and the difference was statistically significant(P<0.05).Conclusion Vitrectomy should be performed as soon as possible for vitreous hemorrhage that is ineffective for conservative treatment and cannot be absorbed repeatedly.
作者
柯毅
张园
王秀琴
周舟
黎宗汉
KE Yi;ZHANG Yuan;WANG Xiu-qin(Ophthalmology Department,Affiliated Hospital of Guangdong Medical University,Zhanjiang 524001,China)
出处
《中国实用医药》
2020年第16期20-22,共3页
China Practical Medicine
关键词
玻璃体积血
保守治疗
手术治疗
Vitreous hemorrhage
Conservative treatment
Surgical treatment
