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目的 :研究玻璃体视网膜手术的主要致病因素。方法 :对 4 4 9例玻璃体视网膜手术做回顾性分析 ,男 2 4 3例 ,女 2 0 6例 ;术前视力光感～ 0 2 ;平均病史 11 6月。手术采用三切口闭合式玻璃体切割术。结果 :4 4 9例均诊断明确 ,与术前诊断符合率为 80 6 % ,病因中视网膜血管性疾病 114例 ,占 2 5 39% ,眼外伤 85例 ,占 18 93% ,糖尿病视网膜病变 82例 ,占 18 2 6 % ,黄斑部病变 4 1例 ,占 9 13% ,孔源性视网膜脱离 39例 ,占 8 6 9% ,眼内炎 2 5例 ,占 5 57%。结论 :玻璃体视网膜手术正走向成熟 ,其适应证逐渐扩展 ,已成为治疗眼后段疾病的重要手段。
Objective: To study the main pathogenic factors of vitreoretinal surgery. Methods: A total of 444 cases of vitreoretinal surgery were retrospectively analyzed. There were 206 males and 260 females with preoperative visual acuity of 0 2 and an average history of 11 months. Surgical use of three incision closed vitrectomy. Results: All the 449 cases were diagnosed well, and the coincidence rate with preoperative diagnosis was 80.6%. There were 114 cases of retinal vascular diseases in etiology, accounting for 2539%, ocular trauma 85%, accounting for 18 93%, diabetic retinopathy 82 Cases, accounting for 182.6%, macular lesions in 41 cases, accounting for 9 13%, rhegmatogenous retinal detachment in 39 cases, accounting for 86.9%, 25 cases of endophthalmitis, accounting for 57 57%. Conclusion: Vitreoretinal surgery is maturing and its indications are gradually expanding. It has become an important method for the treatment of posterior segment diseases.