探讨Ortho K镜治疗近视眼的疗效及影响因素。方法 :对该疗法治疗 3个月后的 16 1例 316眼按年龄、治疗前等效球镜度、角膜曲率、眼轴长度进行分组分析。结果 :Ortho K镜对年龄≤ 18岁、等效球镜度≤ -6 0 0D的中低度近视、眼轴≤ 2 6 0 0mm疗效较好 ;对角膜曲率KH40～ 48之间各组疗效无明显差异。结论 :Ortho -K镜在掌握适应证及严密监视下 ,可作为矫治青少年中低度近视的一种有效疗法。 To investigate the curative effect and influencing factors of Ortho K mirror in the treatment of myopia. Methods: A total of 161 eyes, 316 eyes, 3 months after the treatment were grouped according to age, pre-treatment spherical equivalent, corneal curvature and axial length. Results: Ortho K had the best effect on myopia with ≤ 18 years of age and spherical equivalent ≤ -600 0D, with an axial length of ≤ 260 mm. There was no significant difference between the groups of corneal curvature KH40 ~ 48 Significant differences. Conclusion: Ortho-K mirror in indications and under close surveillance, can be used as a treatment for mild to moderate myopia in young people an effective treatment.