汤雪娥 彭小凡 傅丽萍 杨志浩 谢东文 黄晓英

    摘 要 目的：观察镇静下YAG激光玻璃体后皮质切开引流术治疗新生儿黄斑区视网膜前出血的临床效果。方法：选取黄斑区视网膜前出血新生儿45例(46眼)，出生后4周时在镇静状态下采用YAG激光行玻璃体后皮质切开引流术。术后随访3个月，记录患眼出血吸收、视力改善和并发症发生情况。结果：42例(42眼)出血缓慢引流入玻璃体腔，3例(4眼)因出血凝集引流失败。成功引流的42眼中，术后1周85.71%(36/42)的患眼视网膜前出血基本吸收，成功暴露黄斑中心凹，83.33%(35/42)的患眼明显追光，64.29%(27/42)的患眼明显追物；至术后3个月时，均能明显追光追物。引入玻璃体积血1～3周吸收，无玻璃体积血情况发生。结论：镇静下YAG激光辅以体位引流新生儿视网膜前出血，可有效改善患眼的追光反应，无严重并发症发生。

    关键词 黄斑区 视网膜前出血 新生儿 钇铝石榴石激光

    中图分类号：R779.7； R722.19 文献标志码：B 文章编号：1006-1533(2021)09-0033-03

    Analysis of yAG laser for the treatment of neonatal preretinal hemorrhage under sedation

    TANG Xuee， PENG Xiaofan， FU Liping， YANG Zhihao， XIE Dongwen， HUANG Xiaoying

    (Department of Otology， the Central Hospital of Xinyu Iron and Steel Group Co.， Ltd.， Jiangxi Xinyu 338000， China)

    ABSTRACT Objective： To observe the clinical curative effect of YAG laser posterior vitreous cortex (PVC) incision and drainage under sedation on neonatal preretinal hemorrhage in macular area. Methods： Forty-five neonates (46 eyes) with preretinal hemorrhage in macular area were enrolled and underwent PVC by YAG laser under sedation four weeks after birth. They were followed up for 3 months after surgery. The hemorrhage absorption of affected eyes ......