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不同方法测量甲状腺重量对131I治疗甲亢疗效的影响

Efficacy of Radioiodine Treatment for Hyperthyroidism by Using Different Methods to Measure Thyroid Weight

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【作者】 邓波肖欢陈华明陈小凤

【Author】 DENG Bo,XIAO Huan,CHEN Hua-ming,et al.Department of Nuclear Medicine, Central People’s Hospital of Zhanjiang, Zhanjiang, 524037, China

【机构】 广东省湛江中心人民医院核医学科广东省湛江中心人民医院核医学科 广东湛江524037广东湛江524037广东湛江524037

【摘要】 目的 13 1I治疗甲亢时利用不同方法测量甲状腺重量来计算给药剂量 ,对疗效进行对比分析。方法  2 65例接受13 1I治疗的甲亢患者分为 4组 ,分别根据甲状腺SPECT断层显像、核素平面显像、B超以及触诊法测量的甲状腺重量来计算给药剂量 ,对比分析治疗后 6个月的疗效。结果  4组患者疗效差异有显著性 (P <0 0 5 ) ,SPECT核素断层显像组疗效最好 ,B超组次之 ,触诊法疗效最差。结论 13 1I治疗甲亢时利用SPECT断层显像测量的甲状腺重量来计算剂量 ,可以弥补其他方法的缺陷 ,能在提高治愈率的同时减少甲状腺功能低下的发生率

【Abstract】 Objective To analyze the curative effects in hyperthyroidism radioiodine treatment which using different methods to measure thyroid weight in order to calculate therapeutic dose.Methods 265 hyperthyroidism underwent radioiodine treatment,then they were divided into 4 groups.Calculating therapeutic dose was done according to SPECT tomography,nuclear plane imaging,ultrasonography and palpation to measure thyroid weight.We Compared and analyzed the curative effects after 6 months.Results The curative effects of 4 groups had obviously difference(P<0 05). The group of SPECT tomography was the best. The ultrasonography was the second. And the palpation was the worst.Conclusion Using SPECT tomography-measured thyroid weight has value to calculate therapeutic dose in hyperthyroidism radioiodine treatment.

  • 【文献出处】 中国医师杂志 ,Journal of Chinese Physician , 编辑部邮箱 ,2003年09期
  • 【分类号】R581.1
  • 【被引频次】6
  • 【下载频次】92
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