山东省部分医疗机构开展翼状胬肉手术情况的问卷调查  

Investigation of the questionnaires about implementation of pterygium surgery in Shandong Province Medical Institutions partly

作　　者：侯谊谊[1,2] 张怡琳[1,2] 宋鹏[1,2] 高华[1,2] 

机构地区：[1]山东省眼科研究所 [2]山东省眼科医院,济南250021

出　　处：《眼科》2013年第5期354-356,共3页Ophthalmology in China

基　　金：山东省卫生强基工程第二批适宜卫生技术推广项目(鲁卫科教国合发〔2009〕8号);山东省科学技术发展计划项目(2012GSF11836)

摘　　要：目的分析山东省部分医疗机构翼状胬肉手术的开展情况，以便配合山东省卫生强基工程做好翼状胬肉规范手术的推广。设计横断面调查。研究对象参加2009年翼状胬肉手术临床应用技术推广培训班的73所医院。方法对来自73所医院的人员进行问卷调查。主要指标能否开展眼科显微手术、是否配有独立科室及病房、翼状胬肉手术每年开展例数、开展手术方式、术后复发率、认为最恰当的推广方式、培训班最大收获等。结果现场共发出调查问卷75份，收回73份。省级医院10所（13．70％），市级医院43所（58．90％），县区级及以下医院20所（27．40％）。73所（100％）医院均能开展显微手术；68所（93．15％）医院备有独立科室及病房。年手术量小于50例的10所，50～100例的34所，大于100例的29所；开展翼状胬肉切除联合自体干细胞移植术的45所；单纯翼状胬肉切除术的14所；翼状胬肉切除联合羊膜移植术的7所；翼状胬肉切除联合抗代谢药物治疗的7所。省级医院开展翼状胬肉切除联合自体干细胞移植术后复发率〈10％的比例为88．89％，市级医院为58．06％，县区级及以下医院为20％。32所（43．84％）医院认为培训班为适宜推广方式；51所（69．86％）医院认为培训班最大收获是学习手术技巧。结论翼状胬肉切除联合自体干细胞移植术是目前山东省部分医院采用的主流手术方式，且复发率低。利用培训班授课对规范翼状胬肉手术、提高操作水平有益。Objective To investigate the implementation of pterygium surgery among medical institutions partly in Shandong Province, and to promote the norms of pterygium surgery well cooperating with Shandong health strong foundation project. Design Cross-sectional survey. Participants 73 hospitals which attended the 2009 training courses about promoting clinical application of pterygium surgery. Method Questionnaires survey were conducted among 73 hospitals which attended the training courses. Main Outcome Measures Can carry out ophthalmic microsurgical or not, with or without separate departments or wards, amounts of ptery- glum surgery every year, surgical approachs performed, recurrence rate, best promoting strategy, best gains of training courses, etc. Re- sult 75 questionnaires were sent out at the scene and 73 questionnaires were responded, including 10 provincial hospitals （13.70%）, 43 municipal hospitals （58.90%） and 20 district hospitals （27.40%）. 73 hospitals could carry out ophthalmic microsurgieal, 68 hospitals own separate departments or wards. Less than 50 cases were performed in 10 hospitals every year, 50-100 cases in 34 hospitals, over 100 cases in 29 hospitals. 45 hospitals carried out pterygium excision combined with autologous stem cell transplantation, 14 hospitals carried out simple pterygium excision, 7 hospitals carried out pterygium excision combined with amniotic membrane transplantation, 7 hospitals carried out pterygium excision combined with antimetabolites therapy. The proportion of each grade hospitals whose recurrence rate of pterygium excision combined with autologous stem cell transplantation was less than 10% was as follow, 88.89% of provincial hospitals, 58.06% of municipal hospitals, 20% of district hospitals. 32 hospitals （43.84%） regarded the training coarses as a good pro- rooting method, 51 hospitals regarded the training course as an excellent opportunity to acquire surgical technique. Conclusions Ptery- glum excision combined with autologous stem cell transplantati

关 键 词：翼状胬肉 手术方式 自体干细胞移植 培训班 问卷调查 

分 类 号：R779.6[医药卫生—眼科]