Safety,effectiveness and prognosis analysis of thyroidectomy for thyroid carcinoma in elderly patients
10.3760/cma.j.issn.0254-9026.2018.10.013
- VernacularTitle:老年甲状腺癌患者手术临床疗效和预后分析
- Author:
Wei CHANG
1
;
Xingmin HAN
;
Baoping LIU
;
Qinjing WEI
;
Guangjun NIU
Author Information
1. 450052,郑州大学第一附属医院核医学科
- Keywords:
Thyroid neoplasms;
Clinical efficacy;
Prognosis
- From:
Chinese Journal of Geriatrics
2018;37(10):1115-1117
- CountryChina
- Language:Chinese
-
Abstract:
Objective To analyze safety,effectiveness and prognosis of thyroidectomy in elderly patients with thyroid carcinoma.Methods A retrospective analysis was conducted in 142 elderly patients undergoing thyroidectomy for thyroid carcinoma in our hospital from October 2010 to March 2012.Clinical data of surgical treatment and postoperative pathogenetic conditions,including the incidence rate of operation complications,the rate of local relapse and distant metastasis,were analyzed.And the influencing factors on prognosis were also analyzed.Results Thyroidectomies for thyroid carcinoma were successfully completed in all patients.There were a total of 13 cases with postoperative complications,yielding a total complication rate of 9.15 ％,including an incision infection in 6 patients,hoarseness in 1 patient,and hypocalcemia in 6 patients.During median follow-up of 51 months,there were 12 patients dead,16 patients relapsing,and 6 patients with local and distant metastasis.Univariate analysis showed that age,lymph node metastasis,and clinical stage may affect the prognosis of elderly patients with thyroid cancer.Multivariate Cox Logistical analysis indicated that age,lymph node metastasis,and clinical stage were independent factors associated with the prognosis of elderly patients with thyroid carcinoma.Conclusions Age,lymph node metastasis,and clinical stage are independent factors for prognosis of elderly patients with thyroid carcinoma.
