飞秒激光小切口基质透镜取出术治疗近视的临床效果  

Clinical Effects of Small Incision Lenticule Extraction for Myopia

作　　者：韦志伟 韩艳秋 陈海清 吴颖婷 Wei Zhiwei;Han Yanqiu;Chen Haiqing;Wu Yingting(Department of Dioptrics,Wuzhou Aier Eye Hospital,Wuzhou 543000,Guangxi Zhuang Autonomous Region,China)

机构地区：[1]梧州爱尔眼科医院屈光科,广西壮族自治区梧州543000

出　　处：《中外医药研究》2024年第5期54-56,共3页JOURNAL OF CHINESE AND FOREIGN MEDICINE AND PHARMACY RESEARCH

摘　　要：目的:探讨飞秒激光小切口基质透镜取出术(SMILE)治疗近视的临床效果。方法:选取2022年6月—2023年1月于梧州爱尔眼科医院接受近视手术治疗的近视患者90例为研究对象,采用随机数表法分为准分子激光原位角膜磨镶术(LASIK)组和SMILE组,各45例。LASIK组接受LASIK手术治疗,SMILE组接受SMILE手术治疗。比较两组视力、角膜非球面系数Q、角膜全层厚度、术后并发症。结果:术前,两组视力、角膜非球面系数Q及角膜全层厚度比较,差异无统计学意义(P>0.05);术后半年,两组视力、角膜非球面系数Q高于术前,角膜全层厚度低于术前,SMILE组视力高于LASIK组,角膜非球面系数Q及角膜全层厚度低于LASIK组,差异有统计学意义(P<0.05)。SMILE组术后并发症发生率低于LASIK组,差异有统计学意义(P=0.030)。结论:SMILE手术治疗近视的临床效果优于LASIK手术,可改善近视患者的角膜非球面系数Q及角膜全层厚度,提高视力,减少术后并发症。Objective: To investigate the clinical effect of small incision lenticule extraction (SMILE) for myopia. Methods: Ninety cases of myopic patients who underwent myopic surgery in Wuzhou Aier Eye Hospital from June 2022 to January 2023 were selected as the study subjects, and were divided into laser-assisted in situ keratomileusis (LASIK) group and SMILE group, each with 45 cases, by using the randomized number table method. The LASIK group received LASIK surgical treatment, and the SMILE group received SMILE surgical treatment. The visual acuity, corneal aspheric factor Q, corneal full thickness, and postoperative complications were compared between the two groups. Results: Preoperatively, there was no statistically significant difference in visual acuity, corneal aspheric coefficient Q and corneal full thickness between the two groups (P>0.05);six months after surgery, visual acuity, corneal aspheric coefficient Q was higher than preoperative in both groups, and corneal total thickness was lower than preoperative, the visual acuity of the SMILE group was higher than that of the LASIK group, and the corneal aspheric coefficient Q and corneal thickness were lower than that of the LASIK group, and the difference was statistically significant (P<0.05). The incidence of postoperative complications in the SMILE group was lower than that in the LASIK group, and the difference was statistically significant (P=0.030). Conclusion: The clinical effect of SMILE surgery for myopia is better than that of LASIK surgery, which can improve the corneal aspheric coefficient Q and corneal full thickness of myopia patients, improve visual acuity, and reduce postoperative complications.

关 键 词：飞秒激光小切口基质透镜取出术 近视 角膜全层厚度 视力 

分 类 号：R779.63[医药卫生—眼科]