相关实验视频
Updated: Jul 25, 2025

05:10
Gasless Endoscopic Thyroidectomy via the Trans-Axillary Approach
Published on: September 15, 2023
1.0K
老年人甲状腺手术:一个外科队列
Fien Van den Eynde1,2, Klaas Van Den Heede3, Nele Brusselaers4,5,6
1Group of Biomedical Sciences, University Hospital Leuven, Herestraat 49, 3000, Louvain, Belgium. fien.vandeneynde@hotmail.com.
Langenbeck's archives of surgery
|June 29, 2023
概括
甲状腺手术对75岁及以上的患者是安全的,患病率与年轻人群相似. 然而,增加出血风险意味着对老年人不建议进行门诊手术.
科学领域:
- 内分泌学 在内分泌学.
- 手术瘤学手术瘤学
- 老年人手术是一门老年人手术.
背景情况:
- 由于人口老龄化和成像增加,老年人对甲状腺手术的需求日益增加.
- 关于老年患者手术结果的数据有限.
- 对于评估老年人短期甲状腺手术的安全性至关重要.
研究的目的:
- 在不同年龄组中比较甲状腺手术结果.
- 评估老年患者 (75岁以上) 甲状腺手术的安全性和发病率.
- 对老年甲状腺患者进行门诊手术的可行性进行评估.
主要方法:
- 对2030名甲状腺手术患者的回顾性分析 (2010年1月至2021年7月).
- 将患者分为三个年龄组:年轻人 (18-64岁),老年人 (65-74岁) 和老年人 (75岁以上).
- 评估了手术的指示,手术发病率 (低热血症,出血,RLN) 和住院时间.
主要成果:
- 老年患者有不同的初级适应症:多节 (70.2%) 和甲状腺癌 (9.9%).
- 与年轻人 (1.4%) 相比,老年 (4.6%) 和老年 (2.5%) 群体的出血再干预率更高.
- 低血症或复发性喉神经麻率没有显著差异;老年人住院时间较长 (43.5%>1天).
结论:
- 甲状腺手术对于75岁及以上的患者是安全的,患病率与年轻患者相比较.
- 老年人出血再干预的风险增加需要谨慎.
- 由于出血风险,对于接受甲状腺手术的老年患者,不建议进行门诊手术.
相关概念视频
Synthesis and Regulation of Thyroid Hormones
4.8K
Low blood levels of the thyroid hormones — triiodothyronine (T3) and thyroxine (T4) — signal the hypothalamus to release the thyrotropin-releasing hormone (TRH). TRH then reaches the pituitary gland and stimulates the release of thyroid-stimulating hormone(TSH) into the bloodstream.
Upon reaching the thyroid gland, TSH stimulates the follicular cells' active uptake of iodide ions from the blood. The ions diffuse to the apical surface of the cells and are oxidized to iodine. The...
Upon reaching the thyroid gland, TSH stimulates the follicular cells' active uptake of iodide ions from the blood. The ions diffuse to the apical surface of the cells and are oxidized to iodine. The...
4.8K
The Thyroid Gland
4.0K
The thyroid gland is a small, butterfly-shaped gland located in the neck and covers the anterior surface of the trachea. The gland has two lateral lobes connected by a thin tissue mass called the isthmus. Internally, each lobe comprises many small spherical structures known as thyroid follicles, surrounded by a network of blood vessels.
The follicles have a central cavity lined by simple cuboidal to squamous epithelial cells called follicular cells. These cells produce the glycoprotein...
The follicles have a central cavity lined by simple cuboidal to squamous epithelial cells called follicular cells. These cells produce the glycoprotein...
4.0K
Inflammatory Bowel Disease V: Surgical Management
171
Surgical interventions for inflammatory bowel disease (IBD), which includes ulcerative colitis and Crohn's disease, are essential in managing symptoms and addressing complications. The selection of surgical procedures is contingent upon the specific conditions and complications that stem from these illnesses.
Here are some common surgical interventions for IBD:
Here are some common surgical interventions for IBD:
171
Urinary Tract Calculi VI: Surgical Management
11
Procedures for Kidney StonesMedical intervention is necessary when kidney stones or renal calculi are too large to pass spontaneously (typically greater than 5 millimeters) when stones are accompanied by symptomatic infection (such as fever or pyelonephritis), when they impair kidney function, or when they cause persistent symptoms like severe pain, nausea, or urinary retention. Additionally, patients with only one kidney or those who cannot be treated with medical management also require...
11
Functions of Thyroid Hormones
2.8K
The thyroid hormone (TH) plays a pivotal role in the intricate orchestration of physiological processes, exerting profound effects on development, metabolism, and homeostasis throughout different life stages.
TH is indispensable for the normal development and maturation of the skeletal, muscular, and nervous systems during fetal and childhood growth. It facilitates bone mineral turnover and regulates protein synthesis in developing tissues, contributing significantly to overall growth and...
TH is indispensable for the normal development and maturation of the skeletal, muscular, and nervous systems during fetal and childhood growth. It facilitates bone mineral turnover and regulates protein synthesis in developing tissues, contributing significantly to overall growth and...
2.8K

