不同角膜屈光手术治疗近视患者的临床疗效

Clinical Effecacy of Different Corneal Refractive Surgery in Treating Myopia

【目的】探讨不同角膜屈光手术治疗近视患者的临床疗效。【方法】回顾性分析2020年1月至2022年1月在西安华夏眼科医院接受手术治疗的850例近视患者,根据手术方式不同分为A组、B组、C组。A组患者采用前弹力层下激光角膜原位磨镶术(SBK)治疗;B组患者采用飞秒激光辅助的准分子激光角膜磨镶术(FS-LASIK)治疗;C组患者采用飞秒激光小切口基质透镜取出术(SMILE)治疗,比较三组患者术前、术后1个月、术后6个月的裸眼视力(UCVA)、矫正者生活质量(QIRC)评分及中央角膜细胞密度(ECD)。【结果】三组患者术前、术后1个月、术后6个月UCVA比较,差异无统计学意义(P>0.05);与术前相比,三组患者术后1个月、术后6个月的UCVA明显提高(P<0.05);三组患者术前、术后1个月、术后6个月QIRC评分比较,差异均无统计学意义(P>0.05);三组患者术前、术后1个月、术后6个月ECD比较,差异均无统计学意义(P>0.05)。【结论】SBK、FS-LASIK和SMILE手术在近视患者治疗中均具有良好的效果,可改善患者视力和视觉质量,且均具有较好的安全性。

【Objective】To investigate the effect and safety of different corneal refractive surgeries in the treatment of myopia patients.【Methods】A retrospective analysis was conducted among the 850 myopia patients who underwent surgical treatment in Xi'an Huaxia Eye Hospital from January 2020 to January 2022.Patients were divided into group A,group B,and group C according to different surgical methods.Patients in group A received sub-bowman's membrane laser in situ keratomileusis(SBK),patients in group B were treated with femtosecond laser-assisted laser keratomileusis(FS-LASIK),and patients in group C were treated with femtosecond laser small incision matrix lens extraction(SMILE).The uncorrected visual acuity(UCVA),quality of life impact of refractive correction(QIRC)score and endothelial central cell density(ECD)were compared among the three groups at 1 month and 6 months after surgery.【Results】There was no statistically significant difference in UCVA among the three groups before surgery,1 month and 6 months after surgery(all P>0.05).Compared to before surgery,the UCVA of the three groups at 1 month and 6 months after surgery was obviously improved(all P<0.05).QIRC scores among the three groups had no significant differences before surgery,1 month after surgery,and 6 months after surgery(all P>0.05).ECD did not show significantly different among the three groups before surgery,1 month after surgery,and 6 months after surgery(all P>0.05).【Conclusion】SBK,FS-LASIK and SMILE have good effects in treating myopia patients,which can improve visual acuity and visual quality,and have good safety.