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芬兰正中神经、尺神经和桡神经卡压性神经病的发病率及手术情况:一项全国性登记研究

Incidence and operations of median, ulnar and radial entrapment neuropathies in Finland: a nationwide register study.

作者信息

Hulkkonen Sina, Lampainen Kaisa, Auvinen Juha, Miettunen Jouko, Karppinen Jaro, Ryhänen Jorma

机构信息

Department of Hand Surgery, Helsinki University Hospital and University of Helsinki, Helsinki, Finland.

Center for Life Course Health Research, University of Oulu, Oulu, Finland.

出版信息

J Hand Surg Eur Vol. 2020 Mar;45(3):226-230. doi: 10.1177/1753193419886741. Epub 2019 Nov 19.

Abstract

The aim of this study was to investigate the incidence rates and operations for carpal tunnel syndrome and ulnar and radial neuropathies in specialist care in Finland. Patients diagnosed with entrapment neuropathies of the upper extremity were identified from the Care Register for Health Care, 2007-2016. There were 81,911 cases in 54,095,070 person-years. The total crude incidence rates per 100,000 person-years among women and men were 197 and 105 for carpal tunnel syndrome, 26 and 36 for ulnar neuropathies, and 5.7 and 8.5 for radial neuropathies, respectively. Of these, carpal tunnel syndrome was operated on in 63% of women and 61% of men, ulnar neuropathy in 43% of women and 47% of men, and radial neuropathy in 11% of women and 8% of men. Incidence of carpal tunnel syndrome and ulnar neuropathies increased up to late middle age, while radial neuropathies were less common. III.

摘要

本研究旨在调查芬兰专科护理中腕管综合征以及尺神经和桡神经病变的发病率及手术情况。通过医疗保健护理登记册,确定了2007年至2016年期间被诊断患有上肢卡压性神经病变的患者。在54,095,070人年中共有81,911例病例。女性和男性每10万人年的总粗发病率分别为:腕管综合征197例和105例,尺神经病变26例和36例,桡神经病变5.7例和8.5例。其中,63%的女性和61%的男性接受了腕管综合征手术,43%的女性和47%的男性接受了尺神经病变手术,11%的女性和8%的男性接受了桡神经病变手术。腕管综合征和尺神经病变的发病率在接近中年后期之前呈上升趋势,而桡神经病变则较为少见。三、

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