探讨双极电凝镊在老年人巨大甲状腺肿手术中的应用效果及安全性。

回顾性分析2017年10月至2018年12月滨州医学院烟台附属医院收治的18例老年巨大甲状腺肿患者的临床资料，主要包括手术时间、住院时间、术中出血量及相关并发症等。

18例患者中13例行甲状腺大部除术，5例行全切术；其中3例行气管悬吊术，1例行气管切开术。手术时间55～110（57.3±11.6） min，术中出血量30～80（39.8±27.1）ml，住院时间7～11（7.8±2.6）d；术后一过性声音嘶哑3例，永久性声音嘶哑1例，暂时性低钙血症2例，永久性低钙血症1例。无围手术期死亡患者。

双极电凝镊应用于老年巨大甲状腺肿的手术治疗是安全、有效的，值得基层推广应用。

To investigate the effect and safety of bipolar electrocoagulation in the operation of giant goiter in the elderly.

From October 2014 to September 2018, 18 elderly patients with giant goiter admitted to Yantai Affiliated Hospital of Binzhou Medical University were slected. The clinical data were retrospectively analyzed, including the operation time, hospitalization time, intraoperative blood loss and related complications.

Among them, 13 underwent thyroidectomy and 5 underwent total resection. Three of them underwent tracheal suspension and one underwent tracheotomy. The operation time was 55~110 (57.3±11.6) min, the intraoperative blood loss was 30~80 (39.8±27.1) ml, the hospitalization time was 7~11 (7.8±2.6) d. There were 3 cases of transient hoarseness, 1 case of permanent hoarseness, 2 cases of temporary hypocalcemia and 1 case of permanent hypocalcemia.There were no perioperative deaths.

Bipolar electrocoagulation is safe and effective for the treatment of elderly giant goiter, and it is worthy popularizing and applying.