Abstract：Objective: To investigate the influencing factors of postoperative complications after pterygium excision and to analyze their predictive value. Methods: A total of 112 patients who underwent pterygium excision in our hospital from January 2023 to December 2024 were selected as the study subjects and divided into two groups based on occurrence of postoperative complications: the non-complication group (n=70) and the complication group (n=42).Clinical data of the patients were collected and analyzed. Spearman correlation analysis was used to assess the correlation between relevant factors and the occurrence of postoperative complications after pterygium excision. Multivariate binary Logistic regression analysis was conducted to identify independent influencing factors for postoperative complications. Receiver operating characteristic (ROC) curve analysis was performed to evaluate the diagnostic value of relevant indicators. Results: The tear film break-up time (TBUT) in the non-complication group was significantly longer than that in the complication group (P<0.05). The proportion of patients with corneal suture loosening and irrational use of hormonal drugs was significantly lower in the non-complication group than that in the complication group (P<0.05). TBUT, corneal suture loosening and irrational use of hormonal drugs were identified as independent risk factors for postoperative complications (P<0.05). Among the predictors, the tear-film break-up time yielded an AUC of 0.660 for complication occurrence, indicating poor predictive value.The sensitivity, specificity, Youden index and Kappa coefficient of corneal suture loosening for predicting complications were 0.190, 0.957, 0.147 and 0.600, respectively. And those of irrational corticosteroid use were 0.310, 0.871,0.181 and 0.576, respectively. Conclusion: Short TBUT, corneal suture loosening and irrational use of hormonal drugs can increase the risk of postoperative complications in patients undergoing pterygium excision, but their predictive values are poor.
李婷, 胡娜. 翼状胬肉切除术后并发症发生的影响因素及其预测价值[J]. 河北医学, 2026, 32(2): 235-240.
LI Ting, HU Na. Influencing Factors and Predictive Value of Postoperative Complications after Pterygium Excision. HeBei Med, 2026, 32(2): 235-240.
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2026, Vol. 32 
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