目的：分析翼状胬肉切除术后复发的危险因素及对角膜散光度及泪膜破裂时间的影响。

方法：回顾性研究。选取2020-01/2023-01我院收治的翼状胬肉患者110例110眼，其中原发性翼状胬肉77例77眼，复发性翼状胬肉33例33眼。所有患者均行翼状胬肉切除术。检测翼状胬肉患者手术前后角膜散光度及泪膜破裂时间，统计术后复发情况并分析术后翼状胬肉复发的危险因素。

结果：本研究110眼翼状胬肉切除术后复发8眼，复发率为7.3%。所有患者手术前后角膜散光度比较无差异(2.02±0.32 vs 2.00±0.32 D，P>0.05)，泪膜破裂时间比较有差异(9.55±1.24 vs 13.46±2.56 s，P<0.05)。多因素Logistics回归分析结果显示年龄、工作环境、糖尿病、胬肉性质、术后泪膜破裂时间、手术方式为影响翼状胬肉切除术后复发的因素(均P<0.05)。

结论：翼状胬肉切除术后患者泪膜破裂时间延长，年龄、工作环境、糖尿病、胬肉性质、术后泪膜破裂时间、手术方式均为翼状胬肉术后复发的危险因素。

METHODS:Retrospective study. A total of 110 pterygium patients(110 eyes)admitted to our hospital from January 2020 to January 2023 were selected, including 77 primary pterygium patients(77 eyes)and 33 recurrent pterygium patients(33 eyes). Pterygium excision was performed in all patients. The corneal astigmatism and tear film break-up time of patients with pterygium were measured before and after operation. The recurrence of pterygium was analyzed and the risk factors of recurrence were analyzed.

RESULTS:In this study, 8 eyes with pterygium recurred after excision, and the recurrence rate was 7.3%. There was no difference in corneal astigmatism of all patients before and after surgery(2.02±0.32 vs 2.00±0.32 D, P>0.05), and there was a difference in tear film break-up time(9.55±1.24 vs 13.46±2.56 s, P<0.05). The results of multi-factor Logistics regression analysis showed that age, working environment, diabetes, pterygium nature, postoperative tear film break-up time and operation method were the factors that affected the recurrence of pterygium after excision(all P<0.05).

CONCLUSION:Age, working environment, diabetes mellitus, pterygium nature, postoperative tear film break-up time and surgical method are all risk factors for postoperative recurrence of pterygium.