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世界核心医学期刊文摘（神经病学分册） 2005年第10期1卷 37-38页

作者： mondelli m. Giannini F. Ballerini m. 方伯言 Em. Service ASL 7 Via Pian d’Ovile 9 53100 Siena Italy

Background: Although ulnar neuropathy at the elbow (UNE)is the second m.st fr equent focal peripheral neuropathy of the upper lim. after carpal tunnel syndrom.e (CTS), no figures on its prevalence or incidence in the general population hav e been reported. Objective: To determ.ne the incidence of UNE in a general popul ation. m.thods: Retrospective study to identify newly diagnosed cases on the bas is of clinical sym.tom. or signs and slowing of m.tor conduction velocity of the ulnar nerve across the elbow or surgical evidence of nerve com.ression in the e lbow region. Results: In the 5- year period from.1995 to 1999, cases am.ng resi dents in Siena Province (Italy) were identified from.m.dical records of electrom.yographic services of Local Health District no. 7 and from.hospital m.dical reco rds coded ICD 354.2, 04.49 and 04.6. Siena province has a population of 251,930. In the 5- year period, 311 cases (112 wom.n and 199 m.n, m.an age 56 years, ra nge 15- 86)- were identified. The m.an annual crude incidence was 24.7 cases p er 100,000 person- years, and the standardized incidence was 20.9. The sex- sp ecific incidences were 32.7 for m.n and 17.2 for wom.n. The m.an annual crude an d sex- specific incidences rem.ined constant during the study period. The age- specific incidences of whole population and both genders showed an increasing t rend with decade of age. The incidence of “ possible” , “ probable” and “ definite” UNE cases, classified according to level of m.tor conduction velocit y anom.lies and evidence of surgical com.ression of the ulnar nerve at the elbow , was 4.3, 10.6, and 9.8, respectively. The residents of a health subdistrict wh ere m.nual work is dom.nant had a higher m.lespecific incidence (57.1) than othe r areas. Conclusions: This is the first published study on the incidence of UNE. The incidence was higher in m.les than fem.les and about one- thirteenth that reported for CTS in part of the present geographic area.

关键词：尺神经腕管综合征周围神经病粗发病率医院病历运动传导速度神经受压数字统计男性发病率特异性

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