Old thyroidectomy analysis of 30 cases.docVIP

 PAGE \* MERGEFORMAT 8 Old thyroidectomy analysis of 30 cases Keywords: thyroidectomy; the elderly; treatment Although age is not a contraindication for surgery 1, but a growing number of elderly patients do not choose the method of surgical treatment 2. This study attempts to address thyroid surgery for elderly patients and young adults have more complications compared with the incidence and mortality, the total length of hospital stay and postoperative hospital stay between the two terms are the same issues. 1 Materials and Methods 1.1 Clinical data from January 2004 to January 2009 in our department for thyroid surgery were a total of 160 cases. Divided into two groups: age 65 years (elderly group) 30 patients aged lt;65 years (non-elderly group) 130 patients. Old age group 5 males and 25 females, aged 65 to 79 (mean 70.1) years. Non-elderly group, 24 male and female 106 cases, aged from 25 to 63 (mean 47.2) years. 1.2 The appearance of surgical indications of a huge goiter and life, there compression symptoms, retrosternal goiter, secondary hyperthyroidism, suspected malignancy. Elderly group and non-elderly group, pathological types: thyroid adenoma (8 vs 46), nodular goiter (19 vs 76), thyroid cancer (3 vs 8). 1.3 All patients were surgical cervical plexus anesthesia, antibiotics before surgery to prevent infection routine. Surgical procedures are the same surgical team. With electric knife and traditional method of suture ligation. Simple surgical thyroid tumors, including adenoma with ipsilateral thyroid resection, intraoperative frozen section examination, such as a malignant thyroid cancer according to treatment. Ipsilateral nodular goiter with subtotal surgery. Depending on the pathology of thyroid cancer type with the side of the gland subtotal hysterectomy, near total resection, total thyroidectomy. 1.4 Statistical analysis All data were analyzed using SPSS16.0, using t test and 2 test. 2 Results There were no