肘部手术：美国一项全国性横断面观察研究
Surgical procedures of the elbow: a nationwide cross-sectional observational study in the United States.
作者信息
Kinaci Ahmet, Neuhaus Valentin, Ring David
机构信息
Ahmet Kinaci BSc, Valentin Neuhaus MD, David Ring MD, PhD, Orthopaedic Hand and Upper Extremity Service, Massachusetts General Hospital, Boston, USA.
出版信息
Arch Bone Jt Surg. 2015 Jan;3(1):13-8. Epub 2015 Jan 15.
BACKGROUND
Elbow surgery is shared by several subspecialties. We were curious about the most common elbow surgeries and their corresponding diagnoses in the United States.
METHODS
We used the National Hospital Discharge Survey (NHDS) and the National Survey of Ambulatory Surgery (NSAS) data gathered in 2006-databases that together provide an estimate of all inpatient and ambulatory surgical care in the US.
RESULTS
An estimated 150,000 elbow surgeries were performed in the US in 2006, 75% in an outpatient setting. The most frequent diagnosis treated operative was enthesopathy (e.g. lateral epicondylitis) and it was treated with several different procedures. More than three quarters of all elbow surgeries treated enthesopathy, cubital tunnel syndrome, or fracture (radial head in particular). Arthroscopy and arthroplasty accounted for less than 10% of all elbow surgeries.
CONCLUSIONS
Elbow surgery in the United States primarily addresses enthesopathies such as tennis elbow, cubital tunnel syndrome, and trauma. It is notable that some of the most common elbow surgeries (those that address enthesopathy and radial head fracture) are some of the most variably utilized and debated.
背景
肘部手术涉及多个亚专业领域。我们对美国最常见的肘部手术及其相应诊断情况感到好奇。
方法
我们使用了2006年收集的国家医院出院调查（NHDS）和国家门诊手术调查（NSAS）数据——这些数据库共同提供了美国所有住院和门诊手术治疗情况的估计。
结果
2006年美国估计进行了150,000例肘部手术，其中75%在门诊进行。手术治疗的最常见诊断是附着点病（如外侧上髁炎），且采用了几种不同的手术方法进行治疗。所有肘部手术中超过四分之三是治疗附着点病、肘管综合征或骨折（特别是桡骨头骨折）。关节镜检查和关节成形术占所有肘部手术的比例不到10%。
结论
美国的肘部手术主要针对诸如网球肘、肘管综合征和创伤等附着点病。值得注意的是，一些最常见的肘部手术（那些治疗附着点病和桡骨头骨折的手术）是使用差异最大且争议最多的手术。
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