重视微创青光眼手术的卫生经济学评价

Attaching importance to the health economic evaluation of minimally invasive glaucoma surgery

与传统滤过性青光眼手术比较,微创青光眼手术(MIGS)具有切口微小、降低眼压效果明确、安全性高、手术并发症少、术后恢复快、可减少术后抗青光眼药物用量等特点;同时,因操作相对简单、学习曲线和手术时长较短而在国内外得到迅速推广。本文以MIGS的临床推广现状以及卫生经济学评价在青光眼领域的应用为基础,提出应重视MIGS的卫生经济学评价,并以此开展MIGS相关研究,为诊疗工作、医疗项目定价、医疗保险支付等相关环节的评估和决策提供参考,规范促进MIGS的应用和推广,以期为临床提供更加利于患者、符合国情、经济适用的青光眼诊疗技术和方案。

Compared to traditional filtration surgery,minimally invasive glaucoma surgery(MIGS)offers several advantages,including smaller incisions,more effective intraocular pressure reduction,higher safety levels,fewer surgical complications,faster postoperative recovery,and reduced postoperative use of antiglaucoma drugs.MIGS has gained rapid popularity both domestically and internationally due to its easier operation,shorter learning curve,and reduced operation time.Considering the current clinical promotion of MIGS and the application of health economic evaluation in the glaucoma field,this article proposes the need for an emphasis on the health economic evaluation of MIGS.Conducting research in this area will provide valuable insights for related clinical diagnosis and treatment,medical pricing,and medical insurance payment,and help to further disseminate MIGS,so as to offer clinical benefits,which are aligned with national conditions and economic viability.