八旬老人行甲状腺切除术与较差的术后结局无关。
Thyroidectomy in octogenarians is not associated with poorer postoperative outcomes.
作者信息
Wong Eugene H, Smith Murray, Fish Brian, Jani Piyush, Palme Carsten E, Smith Mark C, Riffat Faruque
机构信息
Department of Otolaryngology, Westmead Hospital, Westmead, New South Wales, Australia.
Sydney Medical School, University of Sydney, Camperdown, New South Wales, Australia.
出版信息
Head Neck. 2019 Aug;41(8):2500-2506. doi: 10.1002/hed.25712. Epub 2019 Mar 4.
BACKGROUND
The elderly represents one of the most rapidly growing subsets of the population. This population experiences a higher incidence of thyroid pathology. However, there are concerns that the elderly also experiences increased perioperative complications and are poor candidates for thyroidectomy.
METHODS
Patients who underwent thyroidectomy over the age of 80 years at three tertiary head and neck units were included. Data regarding age, sex, presenting symptoms, comorbidities, preoperative investigations, type of surgery, postoperative complications, and final thyroid pathology were retrieved from hospital records.
RESULTS
Of a total of 39 patients (69% women, mean age 83.1), the majority (40.1%) presented with a combination of symptoms: shortness of breath, feeling of pressure in the neck, dysphagia, or tiredness. Two (5.1%) were asymptomatic. Low rates of postoperative complications were encountered and were minor (n = 5). No intensive care unit admissions or mortality was experienced.
CONCLUSION
Thyroid surgery in octogenarians carries an acceptable complication profile.
背景
老年人是人口中增长最快的群体之一。该人群甲状腺疾病的发病率较高。然而，有人担心老年人围手术期并发症也会增加，并且不是甲状腺切除术的合适人选。
方法
纳入了在三个三级头颈科室接受甲状腺切除术时年龄超过80岁的患者。从医院记录中检索有关年龄、性别、症状表现、合并症、术前检查、手术类型、术后并发症和最终甲状腺病理情况的数据。
结果
在总共39例患者中（69%为女性，平均年龄83.1岁），大多数（40.1%）表现出多种症状：呼吸急促、颈部压迫感、吞咽困难或疲劳。2例（5.1%）无症状。术后并发症发生率较低且为轻微并发症（n = 5）。没有患者入住重症监护病房或死亡。
结论
八旬老人行甲状腺手术的并发症情况是可接受的。
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