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为对比糖尿病性玻璃体积血与其他非创伤性玻璃体积血的玻璃体手术疗效及手术并发症，为广泛开展糖尿病玻璃体手术提供依据。对行玻璃体手术治疗非创伤性玻璃体积血１０７例１２５眼（糖尿病性玻璃体积血２２例３２眼，老年性黄斑变性２１例２１眼，视网膜中央静脉阻塞２１例２１眼，视网膜静脉周围炎１９例２６眼，其他２５例２５眼），对其手术构成比，解剖、功能成功率，视力，手术并发症及术后反应程度等进行统计分析。结果：糖尿病、Ｅａｌｅｓ＇病、ＡＭＤ、静脉阻塞等是玻璃体手术治疗非创伤性玻璃体积血的主要指征，占手术的８０％。糖尿病性玻璃体积血手术解剖成功率低于７０％，功能成功率低于５０％，均较Ｅａｌｅｓ＇病、ＡＭＤ、静脉阻塞组低，其术后反应比Ｅａｌｅｓ＇病、ＡＭＤ、静脉阻塞组重。结论：糖尿病性玻璃体积血玻璃体手术难度大，解剖及功能成功率低，术后反应重且有特点，应该提倡糖尿病早期的玻璃体手术
To compare the efficacy of diabetic vitreous hemorrhage with other non-invasive vitreous hemorrhage vitreous surgery and surgical complications, provide the basis for the extensive vitreous surgery of diabetes. 107 cases of 125 cases of non-traumatic vitreous hemorrhage were treated with vitrectomy (22 cases with diabetic vitreous hemorrhage in 32 cases, 21 cases with age-related macular degeneration in 21 cases, 21 cases with central retinal vein occlusion in 21 cases and 19 cases with retinal vein inflammation 26 eyes, and 25 other 25 eyes). The operative ratio, anatomy, functional success rate, visual acuity, surgical complications and degree of postoperative reaction were analyzed statistically. Results: Diabetes, Eales’ disease, AMD, venous obstruction and so on were the main indications of vitreous surgery for non-invasive vitreous hemorrhage, accounting for 80% of the surgery. Diabetic vitreous hemorrhage operation success rate of less than 70%, functional success rate of less than 50%, Eales ’disease, AMD, venous obstruction group was lower than the postoperative response Eales’ disease, AMD, intravenous occlusion group weight . CONCLUSIONS: Diabetic vitreous hemorrhage vitrectomy is difficult, success rate of anatomy and function is low, postoperative reaction is heavy and has the characteristics of vitrectomy should be advocated in the early stage of diabetes