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慢性腹腔内血瘤的全球流行率和发病率:系统性审查
Azra Dziho1, Abdullah Al Awadhi2, Caterina Mollica2
1Division of Internal Medicine, Department of Medicine, Neuchatel Hospital Group, La Chaux-de-Fonds, Switzerland.
Brain & spine
|December 24, 2025
概括
慢性腹腔内血瘤 (cSDH) 的流行病学数据有限,没有发现流行研究. 发病率在全球范围内有所不同,随着年龄的增长而增加,这表明需要进行标准化研究.
科学领域:
- 神经外科 神经外科
- 流行病学 流行病学
- 公共卫生 公共卫生
背景情况:
- 慢性亚皮血瘤 (cSDH) 是一种常见的神经外科疾病.
- 它的全球流行病学,包括流行率和发病率,人们对其了解甚少.
研究的目的:
- 系统地审查和评估1970年至2022年cSDH流行和发病率的全球证据.
- 评估现有流行病学数据的质量和区域差异.
主要方法:
- 按照PRISMA指南进行系统审查.
- 在PubMed,Cochrane和EMBASE数据库中对1970-2022年研究进行的搜索.
- 包括报告区域或国家发病率或流行率的研究,并对其进行质量分级.
主要成果:
- 18项研究符合纳入标准,报告了来自五大洲12个国家的发病率.
- 没有研究报告患病率;发生率差异很大 (3.39-39.1/100,000/年).
- 发病率随着年龄的增长而增加 (特别是80岁以上),在男性中似乎更高,并且随着时间的推移而上升,可能是由于诊断的改进.
结论:
- 对cSDH的流行病学数据仍然稀少,严重缺乏流行数据.
- 目前的证据质量中低,突出了方法上的不一致性和区域差异.
- 预计患病率上升的趋势将持续,特别是在老年人群中,因此需要标准化研究方法.
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