中国一家三级医院青光眼内滤过手术的趋势
Trend of glaucoma internal filtration surgeries in a tertiary hospital in China.
作者信息
Cao Yang, Lin Hai-Shuang, Mao Hui-Yan, Zhao Yin, Xie Yan-Qian, Zhang Shao-Dan, Zhang Qi, Wang Pei-Juan, Li Guo-Xing, Fang Ai-Wu, Liang Yuan-Bo
机构信息
The Eye Hospital, School of Ophthalmology and Optometry, Wenzhou Medical University, Wenzhou 325027, Zhejiang Province, China.
Glaucoma Research Institute, Wenzhou Medical University, Wenzhou 325027, Zhejiang Province, China.
出版信息
Int J Ophthalmol. 2023 Feb 18;16(2):251-259. doi: 10.18240/ijo.2023.02.12. eCollection 2023.
AIM
To evaluate the trend of glaucoma internal filtration surgeries for inpatients between 2015 and 2021 at the Eye Hospital of Wenzhou Medical University.
METHODS
A review of the medical records of inpatients who had been diagnosed with glaucoma and received anti-glaucoma surgery between January 1, 2015 and December 31, 2021 was conducted. The glaucoma diagnosis in this study included primary open angle glaucoma, primary angle-closure glaucoma, secondary glaucoma, and paediatric glaucoma. The types of surgeries were categorised as internal filtration, external filtration, and cyclodestruction surgery based on the pathway of aqueous humor outflow. The trend of these glaucoma surgeries in the sample of patients with different types of glaucoma was then analysed.
RESULTS
The number of patients hospitalised for glaucoma surgery increased yearly, from 752 in 2015 to 1373 in 2021, at the Eye Hospital of Wenzhou Medical University. Regarding the patients diagnosed with primary open angle glaucoma, internal filtration surgery increased from 27.40% of the sample to 54.40% of the sample, while external filtration surgery decreased from 71.50% to 44.20% between 2015 and 2021. For paediatric glaucoma, internal filtration surgery increased from 37.50% in 2015 to 88.20% in 2021. Whilst different types of surgeries were performed on the sample of patients with secondary glaucoma, the proportion of internal filtration surgery also showed an increase from 18.20% in 2015 to 40.90% in 2021. Meanwhile, internal filtration surgery in the patient sample with primary angle-closure glaucoma already accounted for over 70.00% in 2015, and showed a small increase by 2021.
CONCLUSION
As surgical technology and surgical experience continue to elevate and improve, the range of glaucoma surgeries are correspondingly evolving. This study find that internal filtration surgeries accounted for an increasing proportion of treatments in the surgical management of glaucoma between 2015 and 2021.
目的
评估温州医科大学附属眼视光医院2015年至2021年期间青光眼患者内滤过手术的趋势。
方法
回顾2015年1月1日至2021年12月31日期间被诊断为青光眼并接受抗青光眼手术的住院患者的病历。本研究中的青光眼诊断包括原发性开角型青光眼、原发性闭角型青光眼、继发性青光眼和儿童青光眼。根据房水流出途径，手术类型分为内滤过、外滤过和睫状体破坏手术。然后分析不同类型青光眼患者样本中这些青光眼手术的趋势。
结果
温州医科大学附属眼视光医院因青光眼手术住院的患者数量逐年增加，从2015年的752例增加到2021年的1373例。在被诊断为原发性开角型青光眼的患者中，内滤过手术从样本的27.40%增加到54.40%，而外滤过手术在2015年至2021年间从71.50%下降到44.20%。对于儿童青光眼，内滤过手术从2015年的37.50%增加到2021年的88.20%。虽然对继发性青光眼患者样本进行了不同类型的手术，但内滤过手术的比例也从2015年的18.20%增加到2021年的40.90%。同时，原发性闭角型青光眼患者样本中的内滤过手术在2015年已占70.00%以上，到2021年略有增加。
结论
随着手术技术和手术经验的不断提高和改进，青光眼手术的范围也在相应地演变。本研究发现，在2015年至2021年期间，内滤过手术在青光眼手术治疗中的占比不断增加。
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