The incidence and clinical characteristics of postoperative recurrence of pterygium in plateau area
10.3760/cma.j.issn.1008-1372.2017.09.014
- VernacularTitle:高原地区翼状胬肉发病的相关危险因素及术后复发情况
- Author:
Chengyi YANG
1
Author Information
1. 甘孜藏族自治州人民医院眼科
- Keywords:
Pterygium/EP/SU;
Incidence;
Risk factors;
Recurrence
- From:
Journal of Chinese Physician
2017;19(9):1334-1337
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the incidence and recurrence of pterygium in plateau area,and to analyse the related risk factors.Methods The random cluster sampling method was selected in accordance with the study of 12 samples for field investigation in Kangba area as the research area.A complete questionnaire and eye examination system of local residents were completed by the investigation team.The incidence of pterygium and postoperative recurrence were analyzed statistically,and the risk factors of pterygium were analyzed by multivariate Logistic regression analysis.Results The inspection rate of this survey was 77.77％ (1 994/2 564),and the pterygium incidence was 38.97％ (777/1 994).The incidence rate of female was 42.75％ (545/1 275),which was significantly higher than that of male 32.27％ (232/ 719);the incidence rate of binocular pterygium was 22.57％ (450/1 994),which was significantly higher than that of monocular pterygium 16.40％ (327/1 994);the incidence rate of daytime outdoor activity time ≥4 h was 45.83％ (693/1 512),which was significantly higher than that of daytime outdoor activities time ＜4 h 17.43％ (84/482);the incidence rate of non wearing glasses in outdoor activities was 47.88％ (665/1 389),which was significantly higher than that of wearing glasses 18.51％ (112/605);and the differences were all statistically significant (P ＜ 0.01).Multi factor Logistic regression analysis showed that age,sex,daytime outdoor activities time,and wearing glasses in outdoor activities were the risk factors of pterygium (P ＜ 0.01).The recurrence rate of pterygium in female patients was 3.30％ (18/545) after 1 year,which was significantly higher than that in males 1.72％ (4/232) (P ＜ 0.05).Conclusions The incidence rate of pterygium in plateau area is more concentrated in female,both eyes,long time on outdoor and non wearing glasses in outdoor habits.The age,gender,daytime outdoor activity time,and whether wearing glasses will increase the risk of pterygium,and women have a higher recurrence rate of pterygium.
