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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

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【作者】 赵德善孔繁振司宏伟朱亦堃

【Author】 ZHAO De-shan KONG Fan-zhen SI Hong-wei ZHU Yi-kun Department of Nuclear Medicine,The First Hospital,Shanxi Medical University,Taiyuan 030001

【机构】 山西医科大学第一医院核医学科军区解放军总医院核医学科中国医学科学院肿瘤医院核医学科山西医科大学第二医院内分泌科

【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.

  • 【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
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