老年患者腔鏡充氣甲狀腺手術(shù)的應(yīng)用分析

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中圖分類號(hào)：R653 文獻(xiàn)標(biāo)志碼：A DOI：10.7652/jdyxb202503014

Application of endoscopic inflatable thyroid surgery in elderly patients

LI Yunhao，WU Yongke，SU Yuanhao，LI Cheng，ZHAO Yiyuan， JIN Xin，WANG Zhidong （Department of Geriatric General Surgery，The Second Affiliated Hospital of Xi'an JiaotongUniversity，Xi'an 71ooO4，China）

ABSTRACT： ObjectiveTo investigate the safety of endoscopic inflatable thyroid surgery on elderly patients by comparing the clinical characteristics and incidence of postoperative complications between elderly and non-elderly patients.MethodsA retrospective analysis of clinical data was conducted on 2O4 patients who underwent endoscopic inflatable thyroid surgery at The Second Affiliated Hospital of Xi'an Jiaotong University from May 2021 to August 2O24.Based on propensity score matching（PSM），a total of 54 elderly patients（age ?60 years）and 150 middle-aged and young patients （ 18-59 years）were selected for comparison of clinical data，surgical-related indicators，and postoperative outcomes between the two groups.ResultsAfter matching，baseline data in both groups exhibited no statistically significant differences （ P>0.05） .There were no statistically significant variances （ P>0.05 ）in intraoperative blood loss，surgical time，postoperative drainage volume，F(xiàn)aces Pain Scale-Revised （FPS-R），hoarseness，or hypoparathyroidism between the two groups.Although the two groups differed significantly in the Charlson Comorbidity Index（CCI）andage-adjusted Charlson Comorbidity Index（aCCI） （ ，there were no significant diferences in the postoperative delirium，acute cardiocerebrovascular events， hospitalizationcosts，orpostoperative length of stay（ P>0.05） .Onepatient inthe elderly grouphad postoperative delirium and but recovered 5 days after surgery. ConclusionAlthough elderly patients have more chronic complications thannon-elderly，endoscopic thyroid surgery inelderly patients with thyroid tumors remainssafe and effective，which makes it deserve clinical application.

KEY WORDS：endoscopic surgery；thyroid neoplasm；elderly patient； thyroidectomy

手術(shù)是甲狀腺腫瘤的首選治療方案之一，包括傳統(tǒng)的開放甲狀腺切除術(shù)和腔鏡手術(shù)[1]。（剩余10581字）