Department of Medical and Surgical Sciences, Advanced Technologies " G.F.Ingrassia", University of Catania, Italy.
Int J Surg. 2016 Sep;33 Suppl 1:S85-7. doi: 10.1016/j.ijsu.2016.05.047. Epub 2016 May 30.
The number of elderly people in Italy is growing, so it is important to study the presentation of diseases in these subjects.
We selected 1362 patients who underwent thyroidectomy for different thyroid diseases from January 2008 to December 2014. The patients weredivided into two groups, according to the age. The patients aged 65 years and over were included in the group A, and the patients under the age of 65 years were included in the group B.
Thyroid diseases in the elderly often present with atypical symptoms which are very similar to symptoms of the aging process. In elderly hypothyroidism occurs frequently sub-clinically and hyperthyroidism is often presented with cardiovascular symptoms. In our study we evaluated the differences in incidence of thyroid diseases in the elderly and in the younger groups of patients.
The data analyzed in this study showed that in the elderly we have a reduced secretion and metabolization of thyroid hormones. The symptomatology in the elderly is nonspecific and can create a delay in the correct diagnosis.
意大利的老年人数量不断增加,因此研究这些人群中疾病的表现形式非常重要。
我们选择了 2008 年 1 月至 2014 年 12 月期间因不同甲状腺疾病接受甲状腺切除术的 1362 名患者。根据年龄将患者分为两组。年龄在 65 岁及以上的患者被纳入 A 组,年龄在 65 岁以下的患者被纳入 B 组。
老年人的甲状腺疾病常表现出不典型的症状,这些症状与衰老过程的症状非常相似。老年人中常出现亚临床甲状腺功能减退症,而甲状腺功能亢进症常表现为心血管症状。在本研究中,我们评估了老年人和年轻患者组中甲状腺疾病的发病率差异。
本研究分析的数据表明,老年人甲状腺激素的分泌和代谢减少。老年人的症状不典型,可能导致诊断延误。