翼状胬肉术后复发的危险因素及治疗的研究进展  

Research Progress on Risk Factors and Treatment of Recurrence after Pterygium Surgery

作　　者：王佳琦 张亚琼 万昊 孟雪雨 殷晖 WANG Jiaqi;ZHANG Yaqiong;WAN Hao;MENG Xueyu;YIN Hui(Xiangyang No.1 People's Hospital Affiliated to Hubei University of Medicine,Xiangyang 441011,China)

机构地区：[1]湖北医药学院附属襄阳市第一人民医院,襄阳441011

出　　处：《中国中医眼科杂志》2024年第1期79-82,共4页China Journal of Chinese Ophthalmology

摘　　要：翼状胬肉是一种眼科常见病及多发病,术后复发是常见的问题之一,且多次复发可造成睑球粘连、结膜囊狭窄、眼球运动受限等严重并发症。近年来,翼状胬肉术后复发逐渐成为眼科医师关注的焦点。本文系统梳理了翼状胬肉术后复发的危险因素,包括全身及眼部危险因素,翼状胬肉自身相关危险因素,分子生物学、基因、病原微生物相关危险因素等;并阐述了减少翼状胬肉术后复发的治疗策略,如手术的选择,辅助药物、物理治疗策略,中医药治疗策略等。本研究可为眼科医师在临床实践中预防翼状胬肉复发提供一定参考。Pterygium,a common and recurrent ocular disease,poses a significant challenge postoperatively,with recurrence being a prevalent issue.Multiple recurrences can lead to severe complications such as eyelid adhesions,conjunctival sac stenosis,and restricted eye movement.In recent years,the recurrence of pterygium after surgery has gradually become a focus of attention among ophthalmologists.This article systematically reviews the risk factors for pterygium recur⁃rence,including systemic and ocular risk factors,pterygium-related factors,molecular biology,ge⁃netics,pathogenic microorganisms,and other related factors.Furthermore,it elucidates treatment strategies to reduce the recurrence of pterygium after surgery,encompassing choices of surgical techniques,adjunctive medications,physical therapy approaches,Traditional Chinese Medicine strategies,and more.This study aims to provide valuable insights for ophthalmologists in clinical practice to prevent pterygium recurrence.

关 键 词：翼状胬肉 危险因素 复发 结膜瓣移植术 羊膜移植术 

分 类 号：R774.1[医药卫生—眼科]