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^(99)Tc^m-亚甲基二膦酸盐联合甲泼尼龙冲击治疗甲状腺相关眼病的效果观察 被引量:4

^(99)Tc^m-methylenediphosphonate combined with methylprednisolone stosstherapy thyroid-associated ophthalmopathy
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摘要 目的探讨99Tcm-亚甲基二膦酸盐(云克)联合甲泼尼龙冲击治疗甲状腺相关眼病(TAO)的疗效。方法 TAO患者共112例分为3组,99Tcm-亚甲基二膦酸盐+甲泼尼龙组(A组)40例,99Tcm-亚甲基二膦酸盐组(B组)34例,甲泼尼龙组(C组)38例,观察治疗后突眼度、临床活动性积分。结果 99Tcm-亚甲基二膦酸盐+甲泼尼龙组在改善突眼度、临床活动性积分方面均明显优于99Tcm-亚甲基二膦酸盐组及甲泼尼龙组(有效率分别为93%、65%、68%,P<0.01)。结论 99Tcm-亚甲基二膦酸盐联合甲泼尼龙治疗甲状腺相关性眼病安全、有效,优于单纯99Tcm-亚甲基二膦酸盐及甲泼尼龙冲击治疗。 Objective To investigate the effect of technetium(99Tcm) methylene diphosphonic acid combined with methylprednisolone stosstherapy thyroid associated ophthalmopathy (TAO). Methods A total of 112 TAO patients were divided into three groups, 99Tcm-methylene diphosphonic acid + methylprednisolone group (A group) 40 cases, 99Tcm-methylene diphosphonic acid group(B group) 34 cases, methylprednisolone group(C group) 38 cases, to observe exo-phthalmos, clinical activity score after treatment of integral. Results The 99Tcm-methylene diphosphonic acid+methyl-prednisolone group in improving the exophthalmos, clinical activity score were significantly better than the 99Tcm-methylene diphosphonic acid group and methylprednisolone group (93% vs 65% vs 68%, P〈0.01). Conclusion 99Tcm-methylene diphosphonic acid combined with methylprednisolone in the treatment of thyroid-associated ophthalmopathy is safe, and more effective than that of 99Tcm-methylene diphosphonic acid and methylprednisolone therapy only.
作者 汪茂荣
出处 《实用医技杂志》 2014年第11期1149-1150,共2页 Journal of Practical Medical Techniques
基金 湖北省民族宗教事务委员会基金(HBMW2012-028)
关键词 格雷夫斯病 99Tcm-美罗酸 甲泼尼龙 Graves′s disease Technetium 99Tcm-medronate Methylprednisolone
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