方法：连续纳入2013-01/12在河南省眼科研究所行SMILE手术的患者，依据患者等效球镜度(SE)分为低度近视组(-3.0030岁)。于术后18～30mo采用问卷方式调查患者术后满意度。不同近视程度组之间应答率比较采用卡方检验，满意度评分比较采用单因素方差分析； 不同年龄组间满意度评分比较采用独立样本t检验； 满意度评分在术后有主观症状组与无主观症状组比较采用独立样本t检验。

结果：共纳入患者120例239眼进行调查，92例183眼患者应答，应答率为76.6%。患者平均年龄18～46(25.6±5.3)岁，术前平均等效球镜度数为-4.87±1.37D。不同近视组中应答率比较，差异无统计学意义(χ²=12.00，P>0.05)。98.9%患者对手术结果满意，并愿将此手术方式推荐给朋友或家人。中度近视组满意度评分高于低度近视组和高度近视组，差异有统计学意义(P<0.05)。低年龄组患者满意度评分高于高年龄组，差异有统计学意义(t=2.95，P<0.05)。术后眼干涩、夜视力差、眩光及眼部不适感的发生率依次为15.3%、9.8%、7.7%、7.1%。眼干涩患者满意度评分均低于无症状患者，差异有统计学意义(P<0.05)，眼部不适感、眩光及夜视力差患者满意度评分与无症状之间无统计学差异(P>0.05)。

结论：近视患者行SMILE术后满意度很高。中度近视组和低年龄组患者满意度评分高，而术后眼干涩患者满意度评分低。

METHODS: Myopic patients treated with SMILE were enrolled from Jan. to Dec.2013 in Henan Eye Institute. The patients were divided into different myopia groups according to spherical equivalent, and were divided into low age group and high age group according to age. The satisfaction survey was performed 18-30mo after SMILE. The differences of response rate and satisfaction score among different myopia groups were performed by Chi-square test and One-way ANOVA, respectively. The differences of satisfaction score between different age groups were performed by sample t-test. The differences of satisfaction score between postoperative symptomatic group and asymptomatic group were performed by sample t-test.

RESULTS: A total of 239 eyes of 120 patients were enrolled. A total of 183 eyes of 92 patients replied, the response rate was 76.6%. The average age was(25.6±5.3)years, the mean preoperative spherical equivalent was(-4.87±1.37)D. The response rates were not statistically significant among different myopia groups(χ²=12.00, P>0.05). The percentage of patients that were very satisfied with surgery was 98.9%, and they would like to recommend the surgery to their families or friends. The satisfaction score of moderate myopia group was significantly higher than that of low myopia group and high myopia group(P<0.05). The satisfaction score of low age group was higher than that of high age group(t=2.95, P<0.05). The incidence of dry eyes, poor night vision, glare and eye discomfort was 15.3%, 9.8%, 7.7%, and 7.1% after operation. The satisfaction score of dry eye was lower than that of asymptomatic patients(P<0.05). There were no significant differences between asymptomatic patients and poor night vision, glare or eye discomfort patients(P>0.05).

CONCLUSION: The satisfaction extent of myopic patients after SMILE is very high. The satisfaction score of moderate myopia group and low age group was high, and the postoperative satisfaction score of dry eye is low.