增殖性糖尿病视网膜病变玻璃体手术并发症剖析.docVIP

增殖性糖尿病视网膜病变玻璃体手术并发症剖析 　　[摘要] 目的 探讨增殖性糖尿病视网膜病变行玻璃体手术的并发症，分析发生原因，提出防治对策。方法 方便选取2016年1月―2017年3月该院眼科46例（49眼）增殖性糖尿病视网膜病变患者为研究对象，患眼均以玻璃体切割术进行治疗。术后随访，统计并发症类型及发生率。结果 玻璃体出血7眼（14.29%）；角膜水肿10眼（20.45%）；继发高眼压11眼（22.45%）；并发性白内障8眼（16.33%）；医源性视网膜损伤4眼（8.16%）；虹膜红变2眼（4.08%）。结论 玻璃体切割术治疗增殖性糖尿病视网膜病变技术含量高，难度也较大，故术中应加强精细操作，正确处理眼部病变，术后应加强观察及处理，以减少手术并发症，进一步保证治疗效果。 　　[关键词] 增殖性糖尿病视网膜病变；玻璃体切割术；并发症；原因；防治 　　[中图分类号] R774 [文献标识码] A [文章编号] 1674-0742（2018）02（a）-0095-03 　　Complications of Vitrectomy in Patients with Proliferative Diabetic Retinopathy 　　WEI Xing 　　Ophthalmology Department， Dafeng People’s Hospital， Yancheng， Jiangsu Province， 224100 China 　　[Abstract] Objective This paper tries to investigate the complications of vitreous surgery in proliferative diabetic retinopathy， analyze the causes and propose prevention and cure measures. Methods A total of 46 patients （49 eyes） with proliferative diabetic retinopathy in this hospital from January 2016 to March 2017 were convenient selected and included in this study. All patients were treated with vitrectomy. All patients were followed up， and the type and incidence of complications were statistically analyzed. Results The vitreous body hemorrhage in 7 eyes （14.29%）； corneal edema in 10 eyes （20.45%）； secondary glaucoma in 11 eyes （22.45%）； complicated cataract in 8 eyes （16.33%）； iatrogenic retinal injury in 4 eyes （8.16%）； rubeosis in 2 eyes （4.08%）. Conclusion Vitrectomy for the treatment of proliferative diabetic retinopathy， with high technical skills， and greater difficulty， so the fine operation should be strengthened， the correct treatment of ocular lesions， postoperative should be strengthened in the observation and treatment to reduce surgical complications and further ensure the therapeutic effect . 　　[Key words] Proliferative diabetic retinopathy； Vitrectomy； Complications； Causes； Prevention and treatment 　　糖尿病?网膜病变（DR）属临床常见微血管病变，为糖尿病患者严重并发症，特异性表现为出血斑点、黄斑水肿、动脉瘤、硬性渗出、视网膜内微血管异常（IRMA）等多种眼底改变，可造成严重视力障碍，是我国主要致盲眼病之一[1]。依据有无视网膜新生