[1]朱高红,赵卫,袁卫红,等.介入栓塞与131I治疗Graves病近期疗效的对比分析[J].介入放射学杂志,2010,(03):184.
 ZHU Gaohong,ZHAO Wei,YUAN Weihong,et al.Comparison of short-term effects between interventional embolization treatment and iodine-131therapy for Graves' hyperthyroidism[J].journal interventional radiology,2010,(03):184.
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介入栓塞与 131 I治疗Graves病近期疗效的对比分析()

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《介入放射学杂志》[ISSN:1008-794X/CN:31-1796/R]

卷:
期数:
2010年03期
页码:
184
栏目:
血管介入
出版日期:
2010-03-15

文章信息/Info

Title:
Comparison of short-term effects between interventional embolization treatment and iodine-131therapy for Graves' hyperthyroidism
作者:
朱高红赵卫袁卫红
650031昆明医学院第一附属医院核医学科
Author(s):
ZHU Gao-hongZHAO WeiYUAN Wei-hongWANG Bai-lingYI Geng-faYANG Shu-min
the First Affiliated Hospital of Kunming Medical College,kunming650031,China
关键词:
介入治疗131 I治疗Graves病近期疗效
分类号:
R581.1
文献标志码:
A
摘要:
目的对比分析甲状腺动脉介入栓塞和 131 I治疗Graves病近期疗效的差异。方法对接受 131 I和甲状腺动脉栓塞治疗的各42例Graves病患者,行造影、SPECT/CT显像检查治疗前后甲状腺形态、大小,放射免疫法检测治疗前后3、6和12个月血清中FT3、FT4、TSH浓度及促甲状腺受体抗体(TRAb)活度和治疗后并发症出现的关系,并对以上数据进行统计学分析。结果两种治疗方法近期疗效无显著差异,介入治疗组治疗后早期严重并发症的发生率明显高于 131 I治疗组,而 131 I治疗组有更高的甲状腺功能减退(甲减)发生率。结论甲状腺动脉介入栓塞和 131 I治疗Graves病患者疗效肯定,131 I可用于初诊及其他方法疗效不佳的患者,介入栓塞治疗可用于抗甲状腺药物疗效不佳、无法手术及甲状腺摄 131 I率低不能行 131 I治疗者,特别对一些难治性、顽固性甲状腺功能亢进有效。介入疗法可作为Graves病可选择的手段。

参考文献/References:

[1]邓豪余. 131 I治疗Graves病的经验[M].//中华人民共和国卫生部医政司.放射性核素治疗学.北京:人民卫生出版社,2006,104-119.
[2]高不郎,赵卫,黄建强,等.Graves病动脉栓塞治疗并发症分析[J].介入放射学杂志,2006,15:457-459.
[3]玉超勇.Graves病研究新进展[J].医学综述,2008;14:2805-2807.
[4]Al-Shaikh,AA.Outcome of hyperthyroidism treated by radioactive iodine[J].Pakistan J Med Sci,2009,25:293-297.
[5]王新明,陈湘,戴玉.甲状腺动脉栓塞治疗甲状腺机能亢进症43例分析[J].中国误诊学杂志,2008,8:3200-3201.
[6]赵卫,程永德.甲状腺疾病的介入诊治应深入研究慎重开展[J].介入放射学杂志,2007,16:505-506.
[7]Xiao H,Zhuang W,Wang S,et al.Arterial embolization:a noval approach to thyroid ablative therapy for Grave’s disease[J].J Clin Endocrinol Metab,2002,87:3583-3589.
[8]Wei Zhao,Bu-Lang Gao,Cang-Zheng Jin,et al.Long-term immunological study in Graves’disease treated with thyroid arterial embolization[J].J Clin Immunol,2008,28:456-463.
[9]杨继金,袁敏,田建民,等.甲状腺动脉栓塞术及其并发症的防治[J].介入放射学杂志,2003,12:105-107.
[10]马玉波,严惟力,袁济民.Graves病 131 I治疗一次性成功患者的TRAb变化规律及预后价值[J].标记免疫分析与临床,2008,15:90-92.
[11]Laurberg P,Wallinl G,Tallstedt L,et al.TSH-receptor autoimmunity in Graves’disease after therapy with anti-thyroid drugs,surgery,or radioiodine:a5-year prospective randomized study[J].Eur J Endocrinol,2008,158:69-75.
[12]Blomgren H,Wasserman J,Petrini B,et al.Blood lymphocyte population following 131 I treatment for hyperthyroidism[J].Acta Endocrinol Copenh,1991,124:152-158.
[13]Cooper DS.Treatment of thyrotoxicosis.//“The Thyroid.A Fundamental and Clinical Text”[M].Philadelphta:Lippincott-Raven,1996,708-734.

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备注/Memo

备注/Memo:
收稿日期:2010-01-07
基金项目:云南省自然科学基金重点科研项目(2002C0012z)
更新日期/Last Update: 2010-03-15