眼管理中的模式转变:从2013年到2023年的回顾性分析
Ye Lin Kwan1,2,3, Qilian Sheng1,2,3, Yanan Sun1,2,3
1Eye Institute and Department of Ophthalmology, Eye & ENT Hospital, Fudan University, Shanghai, China.
Ophthalmic epidemiology
|March 7, 2025
概括
从2013年到2023年,眼外科手术的数量显著增加,明显转向微创性眼外科手术 (MIGS) 和联合手术,如化与眼神解.
科学领域:
- 眼科医生 眼科 眼科
- 手术创新 在外科创新.
- 公共卫生 公共卫生
背景情况:
- 玻璃眼是全球不可逆转的失明的主要原因.
- 手术管理对于降低眼内压力和预防视力丧失至关重要.
- 了解眼外科手术的趋势对于优化患者的治疗结果和资源配置至关重要.
研究的目的:
- 在一家主要的眼科医院分析了10年来格劳科马手术管理的趋势.
- 识别手术技术的转变和采用新手术的方法.
- 评估不同类型绿眼的治疗策略的演变.
主要方法:
- 从2013年到2023年,对13092例青光眼手术进行了回顾性观察性研究.
- 分析手术手术,患者人口统计和青光眼的类型.
- 用于统计分析的Cochrane-Armitage趋势测试.
主要成果:
- 每年外科手术总数从736增加到2,451次.
- 主要视角闭合型玻璃眼 (PACG) 是最常见的类型 (71%).
- 显著的转变从外部过到化法化法化法分析 (Phaco+GSL) 和微创性玻璃眼外科手术 (MIGS),如XEN凝支架.
结论:
- 眼的外科治疗已经向更少的侵入性和更个性化的方法发展.
- 法科+GSL成为PACG的主导程序,从7.61%增加到65.36%.
- MIGS,特别是XEN凝支架的采用越来越多,这表明人们正在向先进的外科技术迈进.
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