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腕管和肘管综合征手术的相关性:特定地理区域内发病率和风险因素分析。

The association between surgery for carpal and cubital tunnel syndrome: analysis of incidence and risk factors within a geographical area.

机构信息

Pulvertaft Hand Centre, Derby, UK.

University of Nottingham, Nottingham, UK.

出版信息

J Hand Surg Eur Vol. 2021 Mar;46(3):260-264. doi: 10.1177/1753193420980983. Epub 2021 Jan 10.

Abstract

The relationship between surgery for cubital tunnel and carpal tunnel syndrome was examined in this retrospective study. Between 1997 and 2018, data from consecutive patients who underwent carpal tunnel release (8352 patients), cubital tunnel release (1681 patients) or both procedures (692 patients) were analysed. The relative risk of undergoing cubital tunnel release in the population who had carpal tunnel release compared with those with no carpal tunnel release was 15.3 (male 20.3; female 12.5). The relative risk of undergoing carpal tunnel release in the population who had cubital tunnel release compared with those who did not undergo carpal tunnel release was 11.5 (male 16.5; female 9.1). Our study showed that men and women who undergo carpal tunnel release are over 20 times and 10 times more likely to have cubital tunnel release than those who did not undergo carpal tunnel release, respectively. These findings suggest that the two conditions may share a similar aetiology. IV.

摘要

本回顾性研究探讨了肘管综合征与腕管综合征手术之间的关系。1997 年至 2018 年间,对连续接受腕管松解术(8352 例患者)、肘管松解术(1681 例患者)或同时接受两种手术(692 例患者)的患者数据进行了分析。与未行腕管松解术的患者相比,行腕管松解术的患者中接受肘管松解术的相对风险为 15.3(男性 20.3;女性 12.5)。与未行肘管松解术的患者相比,行肘管松解术的患者中接受腕管松解术的相对风险为 11.5(男性 16.5;女性 9.1)。本研究表明,与未行腕管松解术的患者相比,行腕管松解术的男性和女性患者分别有超过 20 倍和 10 倍的可能性需要接受肘管松解术,这提示这两种情况可能具有相似的病因。IV.

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