【摘要】 目的 :探讨甲状腺动脉介入栓塞治疗甲亢的方法及临床疗效。方法 :选择 3例临床确诊甲亢患者 ,经DSA下用PVA微粒行双侧甲状腺上动脉及一侧下动脉栓塞。结果 :3例增粗的甲状腺动脉已被基本栓塞 ,腺体染色消失。栓塞后临床随访 1～ 4个月 ,术前T34.0～ 10 .4nmol/L ,平均 6 .8± 3.14SD ,T4 193.7～ 4 0 2nmol/L ,平均 2 6 5 .6 3± 10 8.15SD ,术后T3降至 3.5～ 9.3nmol/L ,平均 5 .11± 2 .89SD ,T4降至 182 .0～ 339.3nmol/L ,平均 2 2 8.87± 81.11SD。甲状腺B超 ,甲状腺肿大小术前 2 .5～ 5 .9cm ,术后缩小至 1.5～ 4 .3cm。临床症状逐渐缓解 ,未闻及明显颈部血管杂音。术后不良反应 ,栓塞综合征经对症处理后症状消失。结论 :介入治疗甲亢是一种安全有效替代内、外科治疗的新方法。更多还原

【Abstract】 Objective:To investigate the methods and clinical effects of thyroid interventional embolization.Methods:Embolization of both thyroid superior arteries and one side of inferior thyroid artery with PVA microsphrers under DSA were carried out in three cases of hyperthyroidism confirmed clinically.Results:Almost all enlarged thyroid arteries were embolizd, glandular staining disappeared. Followed up by 1～4 months, originally T3: 4.0～10.4nmol/L, average 6.8±3.14,T4: 193.7～402 nmol/L, average 265.63±108 15,dropped to T3: 3.5～9.3nmol/L, average 5.11±2.89,T4: 182.0～339.3 nmol/L after treatment.average 228.87±81.11.The sizes of thyroids were decreased from 205～5.9 cm to 1.5～4.3cm according to US detection. Their clinical symptoms were relieved, no audible vascular murmur.Conclusion:The intervational treatment of hyperthyroidism is a new effective method the internal and surgical treatments may be replaced.更多还原