儿童和青少年患者玻璃切除术的当代模式和潜在原因:全国范围的基于人口的分析
Ju-Yeun Lee1, Kyungsik Kim2, Kunho Bae3
1From the Department of Ophthalmology (J.Y.L.), Myongji Hospital, Hanyang University College of Medicine, Goyang, South Korea; Department of Preventive Medicine (J.Y.L., K.K., K.B.), Seoul National University College of Medicine, Seoul, South Korea; Integrated Major in Innovative Medical Science (J.Y.L.), Seoul National University College of Medicine, Seoul, South Korea.
American journal of ophthalmology
|January 14, 2024
概括
在儿科和青少年群体中,Pars plana vitrectomy (PPV) 发病率因性别和年龄而异,青少年的发病率呈下降趋势. 病因有所不同,需要量身定制的患者教育和检查.
科学领域:
- 眼科医生 眼科 眼科
- 儿科医学 儿科医学
- 公共卫生 公共卫生
背景情况:
- 需要帕斯普拉纳视切除术 (PPV) 的视网膜疾病会影响儿科和青少年群体.
- 了解年轻人中PPV的流行病学对于有效管理和资源分配至关重要.
研究的目的:
- 确定需要在儿科和青少年群体中使用PPV的玻璃甲状腺疾病的发病率,病因和纵向趋势.
- 分析PPV率的人口变化和潜在原因.
主要方法:
- 一项全国性的基于人口的队列研究,使用韩国国家健康索赔数据库 (2009-2020年).
- 包括所有接受PPV的儿科和青少年患者 (<20岁).
- 根据性别和年龄组估计累积发病率,年度趋势,病因比例和并发症.
主要成果:
- 1913名患者接受了PPV;累计发病率为每10万人中21.42.
- 男性的PPV率是男性的2.4倍;男性的创伤并发病率也更高.
- 早产视网膜病变 (ROP) 是婴儿 (72%) 的主要病因,而视网膜脱落 (RD) 在老年人中最常见 (63%).
- 近视 (30.3%) 和亚托邦性皮肤炎 (31.8%) 是常见的并发症.
结论:
- 儿童和青少年群体中PPV的主要病因因因性别和年龄而异.
- 在青少年人口中,PPV发病率呈现下降趋势.
- 建议量身定制的患者教育和特定年龄的病因学检查.
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