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目的:评介LASIK手术的结果和并发症。方法:随机选择2003-03/2004-03被实施手术并填写特殊形式问卷的230只手术眼列入本研究。患者数据收集和评价采用SPSS软件进行卡方分析和Fisher统计学检验。患者术后随访时间为3mo。残余屈光度在±0.5D以内为完全矫正,大于±0.5D为相对矫正。结果:全部230眼中,女性122眼,男性108眼。24眼(10.4%)为近视,188眼(81.8%)为近视伴散光,5眼(2.2%)为远视,13眼为远视伴散光。204眼年龄为40岁以下,26眼大于40岁。根据术后视力恢复程度,225眼(97.8%)被完全矫正,5眼(2.2%)为相对矫正。术后3mo随访,完全矫正的在近视患者为96.0%,近视伴散光为88.0%,远视为60.0%,远视伴散光为62.0%。术后3mo时,224眼(97.4%)未见任何并发症,其余只有轻微的副作用。结论:LASIK手术对于矫正屈光不正是安全、有效的且并发症局限。手术结果具有可比性。
Objective: To review the results and complications of LASIK. METHODS: A total of 230 surgical eyes randomly selected for surgery from March 2003 to March 2004 and completed with a special form questionnaire were included in this study. Patient data collection and evaluation were performed using SPSS software for chi-square analysis and Fisher’s statistical test. Patients were followed up for 3mo. Residual diopter within ± 0.5D for complete correction, greater than ± 0.5D for the relative correction. Results: Of the total 230 eyes, 122 were female and 108 were male. 24 eyes (10.4%) were myopic, 188 eyes (81.8%) with myopic astigmatism, 5 (2.2%) hyperopia and 13 eyes with hyperopia with astigmatism. 204 eyes of 40 years of age, 26 eyes over 40 years old. According to the degree of postoperative visual acuity restoration, 225 eyes (97.8%) were completely corrected and 5 eyes (2.2%) were relative correction. 3mo follow-up after surgery, completely corrected in myopia was 96.0%, myopia with astigmatism was 88.0%, hyperopia was 60.0%, hyperopia with astigmatism was 62.0%. At 3 months postoperatively, 224 eyes (97.4%) had no complications and the rest had only mild side effects. Conclusion: LASIK is a safe and effective method to correct refractive errors with limited complications. Surgery results are comparable.