131I治疗Graves病62例临床分析

    Clinical analysis of 62 cases of Graves’ disease treated with 131I

    • 摘要: 目的: 观察口服131I对Graves病患者的甲状腺重量和甲状腺功能的影响。方法: 利用全身彩色多普勒超声仪计算得出甲状腺重量,取其重量的60%作为靶腺。62例根据年龄分组,选择每克甲状腺组织用131I的量:年龄17~29岁2.22~2.96MBq/g,30~50岁2.96~3.7MBq/g,50岁以上3.7~5.55MBq/g。结果: 36例治疗半年后复查甲状腺超声,甲状腺重量由(74.00±37.66) g下降至(34.34±16.56) g (P<0.01),TT3、TT4恢复正常44例。结论: Graves病患者131I治疗后甲状腺肿可以明显缩小,甲状腺功能得到控制。

       

      Abstract: Objective: To observe the influence of 131I therapy on the thyroid weight and function of patients with Graves’ disease.Methods: The thyroid weight was determined by coloural ultrasound and 60% weight was used as target.The 131I dosage for each gramme of thyroid tissue was decided accordind to the patients’ age:patients between 17-29 years were administered 2.22-2.96 MBq/g,30-50 years 2.96-3.7 MBq/g and over 50 years 3.7-5.55 MBq/g.Results: The thyroid weight of thirty-six patients decreased from(74.00±37.6)g to(34.34±16.56)g(P<0.01),and forty-four patients’ TT3 and TT4 returned to nomal level after half a year’s treatment.Conclusions: 131I can reduce the thyroid weight and maintain the thyroid function in patients with Graves’ disease.

       

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