摘要
回顾性地观察了２２４例Ｇｒａｖｅｓ病于停止治疗６个月至１０年以上的预后，分三组，采用（１）长期抗甲状腺药物的８２例；（２）放射性碘治疗的１００例；（３）甲状腺次全切除的４２例。根据临床表现和实验室检查从治愈率、复发率、甲状腺功能低减的发生率来评价预后。长期抗甲状腺药的治愈率较一般报道的高，１０年时可达７５％。三组治疗中放射性碘疗效最高，甲状腺手术组发生永久性甲状腺功能低减者较低，甲状腺机能亢进伴突眼者有９７．３％于三种方法治疗后获得改善。
retrospective study on the prognosis ofGraves disease was carried out.224 cases,whose treatment has been stopled for 6 months to more than 10 years,were divided into 3 groups. 82 cases received long-term antithyroid drug therapy,100 cases were treated with radioactive￣[3] I and 42 cases had subtotal thy-roidectomy.The prognosis was evaluated for 4 items according to clinical and laboratory investigations.The cured rate of long-term drug therapy in this study was higher than that reported by most of other authors,￣[3]I therapy was the best among the 3 mOdalites of therapy,The incidence of permamant hy-pothyroidism was fairly low in the thyroidectomy group.97.3%of the patients with exophthalmos showed improvement after treatment in all the 3 groups.
出处
《中华内科杂志》
CAS
CSCD
北大核心
1995年第1期38-41,共4页
Chinese Journal of Internal Medicine
关键词
预后
突眼性甲状腺肿
放射疗法
甲状腺切除
Prognosis Graves,disease Thyroid antagonists Radiotherapy Thyroidec-tnmy
