CAJ | 학술논문

目的：评价不同年龄患者行甲状腺切除术的疗效及安全性。方法：采用回顾性方法分析，选取我院自2011年1月~2013年1月以来收治的48例行甲状腺切除术的老年患者作为老年组，选取同时期48例行甲状腺切除术的中青年患者作为中青年组，比较两组患者手术近期及远期效果。结果：老年组患者中行甲状腺全切术、根治性甲状腺全切术的比例高于中青年组，具有差异统计学意义(P<0.05)；老年组患者的手术时间及住院时间长于中青年组，具有差异统计学意义(P<0.05)；两组患者的术中出血量没有明显的差异，不具有差异统计学意义(P>0.05)；老年组并发症发生率8.33%(4/48)与中青年组并发症发生率6.25%(3/48)相比，无差异统计学意义(P>0.05)；老年组复发率2.08%(1/48)与中青年组复发率4.17%(2/48)相比，没有统计学意义(P>0.05)。结论：老年患者应在详细掌握适应证情况下行甲状腺切除术，具有较高的安全性及疗效，值得临床推广应用。
목적：평개불동년령환자행갑상선절제술적료효급안전성。방법：채용회고성방법분석，선취아원자2011년1월~2013년1월이래수치적48례행갑상선절제술적노년환자작위노년조，선취동시기48례행갑상선절제술적중청년환자작위중청년조，비교량조환자수술근기급원기효과。결과：노년조환자중행갑상선전절술、근치성갑상선전절술적비례고우중청년조，구유차이통계학의의(P<0.05)；노년조환자적수술시간급주원시간장우중청년조，구유차이통계학의의(P<0.05)；량조환자적술중출혈량몰유명현적차이，불구유차이통계학의의(P>0.05)；노년조병발증발생솔8.33%(4/48)여중청년조병발증발생솔6.25%(3/48)상비，무차이통계학의의(P>0.05)；노년조복발솔2.08%(1/48)여중청년조복발솔4.17%(2/48)상비，몰유통계학의의(P>0.05)。결론：노년환자응재상세장악괄응증정황하행갑상선절제술，구유교고적안전성급료효，치득림상추엄응용。
To evaluate the efficacy and safety of different age patients underwent thyroidectomy.Methods:Using the retrospective method,elderly patients in our hospital from 2011 January-2013 year in January has treated 48 cases of thyroidectomy as aged group,select the same period,48 cases of thyroidectomy in young patients as in the young group,the short and long term effects were compared between the two groups of patients with operation.Results:The patients of thyroid complete resection,radical thyroidectomy ratio higher than that in the young group,with statistically significant difference(P<0.05);operation time in elderly patients and hospitalization time is longer than in the young group,with statistically significant difference (P<0.05);two patients during operation the amount of bleeding have no obvious difference,does not have a statistically significant difference (P>0.05);senile group,the incidence of complications was 8.33%(4/48) 6.25%and the incidence of complications in the young group (3/48),no statistically significant difference (P>0.05);senile group,the recurrence rate was 2.08%(1/48) 4.17%and in the young group,recurrence rate (2/48),there was no statistical significance (P>0.05).Conclusion:The elderly patients should be performed in the indication of thyroidectomy with master,safety and has high efficacy,worthy of clinical application.