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[巴伐利亚南部某地方性甲状腺肿流行地区131碘治疗良性甲状腺肿的早、晚期结果(作者译)]

[Early and late results of 131I treatment of benign goitres in an endemic area in southern bavaria (author's transl)].

作者信息

Frey K W

出版信息

Rofo. 1979 Feb;130(2):172-4. doi: 10.1055/s-0029-1231246.

Abstract

Following the application of 10 000 to 15 000 rd, to 471 patients with benign goitres, mechanical symptoms were relieved in 72 to 82% during a course of six follow-up examinations; the circumference of the neck was reduced by 1.2 to 1.6 cm., the scintigraphic area by 9 to 31% and maximal 131I uptake was reduced by 18 to 31%. Follow-up examinations at 6.4 and 5.5 years in 155 patients showed the best regression of neck circumference (2.2 to 2.6 cm.) and of the area of the scintigram (28 to 31%). 50% of the patients had had recurrences from previous goitre removals and 1 to 3% developed post-therapeutic hypothyroidism. There was no significant change in the level of the peripheral thyroid hormones following treatment, but 10 to 20% were within the hypothyroid range for the area of iodine deficiency.

摘要

对471例良性甲状腺肿患者给予10000至15000拉德的照射后,在为期6次的随访检查过程中,72%至82%的患者机械性症状得到缓解;颈部周长减少了1.2至1.6厘米,闪烁扫描面积减少了9%至31%,最大131碘摄取量减少了18%至31%。对155例患者进行的6.4年和5.5年随访检查显示,颈部周长(减少2.2至2.6厘米)和闪烁扫描面积(减少28%至31%)的消退情况最佳。50%的患者既往有甲状腺肿切除术后复发情况,1%至3%的患者出现治疗后甲状腺功能减退。治疗后外周甲状腺激素水平无显著变化,但10%至20%的患者处于碘缺乏地区甲状腺功能减退范围内。

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