265例精细个体化131I治疗Graves甲亢的疗效观察

Therapeutic effect of fine individual 131I treatment on Graves disease hyperthyroidism

  • 摘要:
    目的 观察265例Graves甲亢患者精细个体化131I治疗后的疗效。
    方法 回顾性分析265例应用131I治疗的Graves甲亢患者的临床资料,引入精细个体化治疗方案矫正系数,根据甲状腺大小、最高吸碘率、是否为毒性结节性或毒性弥漫性甲状腺肿等指标对矫正系数进行精细化,进而调整服131I的剂量,跟踪随访至少6个月。
    结果 服药后3个月、6个月患者临床症状显著改善,TSH、血清游离三碘甲腺原氨酸、血清游离甲状腺素较治疗前明显降低,131I治疗后3个月和6个月的有效率分别为63.4%和81.5%,甲减率分别为24.9%和27.9%。
    结论 精细个体化131I治疗Graves甲亢能够明显改善患者的临床症状,具有比较可靠的治疗效果。

     

    Abstract:
    Objective To evaluate the effect of fine individual 131I treatment on patients with Graves disease hyperthyroidism.
    Methods Retrospective analysis was carried out to evaluate the effect of fine individual 131I treatment on 265 cases of Graves disease hyperthyroidism. On the basis of thyroid size, the thyroid′s maximum radioiodine uptake, and the toxic nodular, the individual treatment correction coefficient was introduced to appropriately adjust the 131I dose. The therapeutic effect was evaluated through thyroid function tests 3 and 6 months post-treatment.
    Results The clinical symptoms in the 265 patients with Graves disease hyperthyroidism significantly improved after the fine individual 131I treatment in 3 and 6 months. Out of the 265 Graves disease cases, the 131I therapy was effective for 168(63.4%) cases after 3 months of treatment, and the hypothyroidism incidence rate caused by the treatment was 66 (24.9%). The 131I therapy was effective for 216(81.5%) cases after 6 months of treatment, and the hypothyroidism incidence rate caused by the treatment was 74(27.9%).
    Conclusion The fine individual 131I treatment of Graves disease hyperthyroidism indicated a good curative effect, which is noteworthy and promising in clinical treatment.

     

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