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儿童和青少年甲状腺功能亢进症的131Ⅰ治疗
131I treatment of hyperthyroidism in children and adolescents
【摘要】 对适宜131Ⅰ治疗的儿童和青少年甲亢患者进行治疗前后的疗效观察研究。临床确诊及对抗甲亢药物耐药或有禁忌证的31例患者接受了131Ⅰ治疗。其中15例痊愈,11例明显好转,5例甲减;18例突眼患者中,8例突眼基本恢复正常,4例缓解,5例无变化和1例加重。对不宜行抗甲亢药物治疗的10岁以上甲亢患者来说,131Ⅰ是一种相对安全、有效的治疗方法。
【Abstract】 The efficacy of 131I treatment of hyperthyroidism in children and adolescents was evaluated. Being unsuitable for medical therapy,31 patients (aged 11-18 years) with hyperthyroidism received 131I treatment with a dose of 0.925-3.33 MBq/g of thyroid and were followed-up for 20 to 76 months.Fifteen patients were euthyroid,5 suffered from late-onset hypothyroidism,and 11 were still hyperthyroid,but their symptoms and signs of hyperthyroidism were markedly improved.Of the 18 patients with thyroid-associated ophthalmopathy (TAO),8 patients recovered,4 were improved,TAO in 1 patients deteriorated and in S patients remained unchanged.131I is a relative safe and effective treatment for children and adolescents above 10 years old with hyperthyroidism,being unsuitable for medical therapy.
【Key words】 Hyperthyroidism; Iodine radioisotopes; Treatment; Follow-up studies; Children and adolescents;
- 【文献出处】 中华内分泌代谢杂志 ,Chinese Journal of Endocrinology and Metabolism , 编辑部邮箱 ,2006年06期
- 【分类号】R581.1
- 【被引频次】20
- 【下载频次】286