本文選題：飛秒激光制瓣 + LASIK手術(shù)��； 參考：《寧夏醫(yī)學(xué)雜志》2016年05期

【摘要】：目的對(duì)行飛秒激光制瓣LASIK(FS-LASIK)和準(zhǔn)分子原位角膜磨鑲術(shù)(LASIK)患者術(shù)后視覺質(zhì)量進(jìn)行比較。方法回顧性分析接受手術(shù)的近視合并散光患者60例,分為FS-LASIK組(30例,60只眼)和LASIK組(30例,60只眼)。隨訪3個(gè)月,比較2組術(shù)后1個(gè)月、3個(gè)月的裸眼視力(UCVA)、最佳矯正視力(BCVA)、球鏡度數(shù)、柱鏡度數(shù)以及高階像差的變化。結(jié)果術(shù)后3個(gè)月,2組UCVA達(dá)到或超過術(shù)前BCVA率均為100%,術(shù)后3個(gè)月無患者BCVA較術(shù)前下降;術(shù)后3個(gè)月等效球鏡度在±0.50 D范圍內(nèi)的百分率,2組均為80%,差異無統(tǒng)計(jì)學(xué)意義(P0.05);2組術(shù)后柱鏡度數(shù)分別為(-0.24±0.33)D(0.50~-1.25 D)、(-0.13±0.42)D(0.75~-1.00 D),差異無統(tǒng)計(jì)學(xué)意義(P0.05)。術(shù)后1個(gè)月和3個(gè)月,2組高階像差與術(shù)前相比均增大,差異有統(tǒng)計(jì)學(xué)意義(P0.05);術(shù)后1個(gè)月,2組水平慧差、垂直慧差及球差之間差異無統(tǒng)計(jì)學(xué)意義(P0.05);術(shù)后3個(gè)月,2組水平慧差、垂直慧差之間差異無統(tǒng)計(jì)學(xué)意義(P0.05),但FS-LASIK組球差變化值小于LASIK組(P0.05)。結(jié)論飛秒LASIK與LASIK手術(shù)治療近視合并散光有效、安全、穩(wěn)定,前者比后者引入的術(shù)后球差更少,具有更好的術(shù)后視覺質(zhì)量,是一種值得在臨床中進(jìn)行推廣的手術(shù)方法。
[Abstract]:Objective to compare the visual quality of patients treated with femtosecond laser flap making and excimer in situ keratomileusis. Methods A total of 60 patients with myopia and astigmatism underwent surgery were retrospectively analyzed. They were divided into FS-LASIK group (n = 30) and LASIK group (n = 60). Follow up for 3 months, compare the changes of uncorrected visual acuity (UCVA), best corrected visual acuity (BCVA), ball lens degree, column lens degree and high order aberration in the two groups at 1 month and 3 months after operation. Results 3 months after operation, the rate of UCVA reached or exceeded the preoperative BCVA in both groups was 100. The BCVA of no patient 3 months after operation was lower than that before operation. The percentage of equivalent spherical endoscopy in the range of 鹵0.50D was 80 in both groups at 3 months after operation. There was no significant difference in the degree of post operative column endoscopy between the two groups (P 0.05). The degree of post operative column endoscopy in group 2 was -0.24 鹵0.33)D(0.50~-1.25, and 0.13 鹵0.42)D(0.75~-1.00, respectively. There was no significant difference between the two groups (P 0.05). After 1 month and 3 months after operation, the higher order aberration in both groups increased significantly compared with that before operation, and the difference was statistically significant (P 0.05), but there was no significant difference in horizontal, vertical and spherical aberration between the two groups at 1 month and 3 months after operation (P 0.05), and at 3 months after operation, there was no significant difference between the two groups in terms of horizontal wisdom, vertical aberration and spherical aberration. There was no significant difference between vertical wisdom difference (P 0.05), but the change of spherical aberration in FS-LASIK group was lower than that in LASIK group (P 0.05). Conclusion Femtosecond LASIK and LASIK are effective, safe and stable in the treatment of myopia complicated with astigmatism. The former has less spherical aberration than the latter, and has better visual quality. It is an operative method worth popularizing in clinic.
【作者單位】： 寧夏醫(yī)科大學(xué)臨床醫(yī)學(xué)系;寧夏人民醫(yī)院眼科醫(yī)院;
【分類號(hào)】：R779.63
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本文編號(hào)：1875379