青少年甲亢<sup>131</sup>I治疗的临床初探

段东; 罗加; 倪济苍; 李建国; 陈显煜

doi:10.13406/j.cnki.cyxb.2002.01.034

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青少年甲亢¹³¹I治疗的临床初探

更新时间：2024-01-17

- 青少年甲亢¹³¹I治疗的临床初探
- Clinical study of adolescent hyperthyroidism after ¹³¹I therapy
- 重庆医科大学学报 2002年第1期页码：96-99
- 作者机构：
  
  1. 重庆医科大学临床学院核医学科
  2. 重庆医科大学临床学院核医学科,重庆,400016
- 作者简介：
- 基金信息：
- DOI：10.13406/j.cnki.cyxb.2002.01.034
  中图分类号： R581.1;R817.5
- 纸质出版日期：2002，
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[1]段东,罗加,倪济苍,李建国,陈显煜.青少年甲亢~(131)I治疗的临床初探[J].重庆医科大学学报,2002(01):96-99.

Duan Dong, et al. Clinical study of adolescent hyperthyroidism after ¹³¹I therapy[J]. Journal of Chongqing Medical University, 2002,(1):96-99.
[1]段东,罗加,倪济苍,李建国,陈显煜.青少年甲亢~(131)I治疗的临床初探[J].重庆医科大学学报,2002(01):96-99. DOI： 10.13406/j.cnki.cyxb.2002.01.034.

Duan Dong, et al. Clinical study of adolescent hyperthyroidism after ¹³¹I therapy[J]. Journal of Chongqing Medical University, 2002,(1):96-99. DOI： 10.13406/j.cnki.cyxb.2002.01.034.

摘要

目的：探讨青少年甲亢１３１Ｉ治疗的临床疗效、副作用及治疗后病人满意度情况等问题。方法：对８９例１４～２５岁（甲状腺Ⅱ度肿大以上）的青少年甲亢采用１３１Ｉ治疗后随访３年以上的资料进行分析，并利用信访或面谈等形式了解患者对该治疗方法的满意度情况。结果：８９例患者中，一次治愈６１例（占６８．５％），好转１４例（占１５．７％），甲低（永久性）１１例（占１２．４％），无效３例（占３．４％）；从已随访到的情况看，所有患者治疗后无发生甲状腺结节、甲状腺癌变、其它癌或白血病病例，２６例已婚生育者后代中无致畸现象发生；１３１Ｉ治疗后，对该治疗方法８１例（９１％）认为满意，５例（５．６％）认为一般，不满意者３例（３．４％）。结论：　１３１Ｉ是治疗青少年甲亢有效、经济、相对安全的方法，患者对该治疗方法满意度高，对甲状腺肿大明显（Ⅱ度以上）、病程长的青少年甲亢患者，１３１Ｉ治疗是值得推荐的方法。

Abstract

Objective:To probe into the clinical curative effect

side effect and gratification degree of adolescent hyperthyroidism after 131I therapy. Methods: To analyse the material of 89 cases (age range from 14-25 ) treated with 131I for Grave’s disease over 3 years follow-up and the patients gratification degree to the treatment was known with mail or interview. Results: 61 cases (68.5%) were once cured among the 89 patients

improvement in 14 cases (15.7%)

hypothyroidism in 11 cases(12.4%)

ineffective in 3 cases (3.4%). There were no thyroid nodules

thyroid cancer

other malignancies or leukemia in all cases after treatment

neither were teratogenesis in progeny of 26 legitimate. After 131I therapy

91% of patients were satisfied

5.6% felt it common

only 3.4% dissatisfied. Conclusion: 131I is found to be an effective

economic and safe treatment of Graves’ disease in adolescents ( especially to the obviously goitrous patients)

the treated patients have high gratification and it should be the preferred mode of therapy.

关键词

青少年甲亢131I治疗

Keywords

Adolescent hyperthyroidism131Itherapy

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青少年甲亢131I治疗的临床初探

Clinical study of adolescent hyperthyroidism after 131I therapy

DOI：10.13406/j.cnki.cyxb.2002.01.034

摘要

Abstract

关键词

Keywords

references

青少年甲亢¹³¹I治疗的临床初探

Clinical study of adolescent hyperthyroidism after ¹³¹I therapy