2013年至2019年中国翼状胬肉和假性胬肉的流行病学特征及手术方法变化：一项回顾性分析
Epidemiologic characteristics and the change of surgical methods of pterygium and pseudopterygium from 2013 to 2019 in China: A retrospective analysis.
作者信息
Wang Jingyi, Cao Kai, Li Shang, Su Bingnan, Jin Zibing, Pan Zhiqiang, Tian Lei, Shi Weiyun, Jie Ying
机构信息
National Center for Quality Control of Ophthalmic Care, WHO Collaborating Center for the Prevention of Blindness, Dongjiaomin Lane, Beijing, China.
Beijing Institute of Ophthalmology, Beijing Tongren Hospital, Capital Medical University, Beijing, China.
出版信息
Heliyon. 2023 Mar 30;9(4):e15046. doi: 10.1016/j.heliyon.2023.e15046. eCollection 2023 Apr.
INTRODUCTION
Pterygium is a common multifactorial external eye disease, which causes various ocular symptoms and negatively affects appearance. The aim of this study was to analyze the epidemiological characteristics and the change of surgical methods of pterygium and pseudopterygium in China from 2013 to 2019.
MATERIALS AND METHODS
This study was a hospital-based nationwide retrospective study to estimate the epidemiologic characteristics and the change of surgical methods of pterygium and pseudopteygium in China from 2013 to 2019. The data was extracted from the Hospital Quality Monitoring System (HQMS) database. The diagnosis was based on the tenth revision of the International Classification of Diseases (ICD-10) code.
RESULTS
Our study included 1,007,800 pterygium and 2,681 pseudopteygium inpatients. From 2013 to 2019, the proportion of pterygium and pseudopterygium patients who underwent surgery, among all ophthalmology inpatients, increased from 3.3% in 2013 to 7.84% in 2019. The male-female ratio of surgically treated pterygium and pseudopterygium is 1:1.8 and 1.6:1 respectively. Among all age groups, the hospitalized pterygium patients who received surgery were mainly 60-69 years old, accounting for 36.53%. The pseudopterygium patients who received surgery were mostly 50-59 years old, accounting for 24.02%. Among the 31 provinces of mainland China, Yunnan Province has the highest proportion of pterygium patients treated surgically (6.40%), while Shanghai has the highest proportion of pseudopterygium patients treated surgically (12.98%). The most common occupation of participants in the study was farmer, accounting for 47.62% and 28.53%, respectively. During the study period, the application of autologous stem cell transplantation increased year by year, and became the first choice for pterygium and pseudopterygium surgery.
DISCUSSION
This study was the first to describe the epidemiological characteristics and surgical methods of hospitalized pterygium and pseudopterygium patients in China. This study provides important information for better diagnosis, treatment and prevention of pterygium and pseudopterygium.
引言
翼状胬肉是一种常见的多因素性外眼疾病，可导致多种眼部症状并对外貌产生负面影响。本研究旨在分析2013年至2019年中国翼状胬肉和假性胬肉的流行病学特征及手术方法的变化。
材料与方法
本研究是一项基于医院的全国性回顾性研究，旨在评估2013年至2019年中国翼状胬肉和假性胬肉的流行病学特征及手术方法的变化。数据从医院质量监测系统（HQMS）数据库中提取。诊断基于国际疾病分类第十版（ICD-10）编码。
结果
我们的研究纳入了1,007,800例翼状胬肉住院患者和2,681例假性胬肉住院患者。2013年至2019年，在所有眼科住院患者中，接受手术的翼状胬肉和假性胬肉患者的比例从2013年的3.3%增至2019年的7.84%。接受手术治疗的翼状胬肉和假性胬肉的男女比例分别为1:1.8和1.6:1。在所有年龄组中，接受手术的住院翼状胬肉患者主要为60-69岁，占36.53%。接受手术的假性胬肉患者大多为50-59岁，占24.02%。在中国大陆31个省份中，云南省接受手术治疗的翼状胬肉患者比例最高（6.40%），而上海市接受手术治疗的假性胬肉患者比例最高（12.98%）。研究参与者最常见的职业是农民，分别占47.62%和28.53%。在研究期间，自体干细胞移植的应用逐年增加，并成为翼状胬肉和假性胬肉手术的首选。
讨论
本研究首次描述了中国住院翼状胬肉和假性胬肉患者的流行病学特征及手术方法。本研究为更好地诊断、治疗和预防翼状胬肉和假性胬肉提供了重要信息。
Zotero 插件