腕管综合征相关因素的分析

An analysis of the predisposition factors for carpal tunnel syndrome

目的探讨可能引起腕管综合征的病因。方法自2005年2月至2014年12月，我们采用腕管减压术治疗93例腕管综合征患者，男23例，女70例；年龄22～84岁，平均56．7岁。左腕49例，右腕53例，其中9例患者为双侧腕管综合征。对可能的相关因素进行分析。结果性别不同与重度腕管综合征的发生率之间差异有统计学意义，重度腕管综合征患者的术前病程时间较中度患者长，腕管综合征的发生与年龄、病程、劳动时问、劳动强度、职业以及是否为优势手之间差异无统计学意义。结论重度腕管综合征的发病率号I生别有关，女性好发，重度腕管综合征病程长。

Objective To explore the predisposition factors for carpal tunnel syndrome （C3S）. Methods From February 2005 to December 2014, 93 cases of CTS were treated with carpal tunnel release. There were 23 males and 70 females. Patient age ranged from 22 to 84 years, with an average of 56.7 years. Involvement of the left wrist was seen in 49 cases, of the right wrist in 53 cases, and of both wrists in 9 eases. Factors related to the occurrence and severity of the syndrome were investigated. Results Gender difference in the incidence of severe CTS was statistically significant. Preoperative duration was also significantly longer in patients with severe CTS than in patients with moderate CTS. Patient age, work time, labor intensity, occupation, and hand domiimnee did not significantly affect the incidence of CTS. Conclusion The incidence of severe CTS is related to gender, being much higher in women than men. Severe CTS patients tend to have longer symptom durations.