碘131联合射频消融治疗儿童甲状腺功能亢进性甲状腺肿1例报告
[Iodine 131 joint radio frequency ablation treatment for child with hyperthyroidism goiter: one case report].
作者信息
Chen Yonghua, Liang Li, Fang Yanlan, Wang Chunlin, Li Linfa, Jiang Tian'an
机构信息
Department of Pediatrics, the First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou 310003, China.
Department of Nuclear Medicine, the First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou 310003, China.
出版信息
Zhejiang Da Xue Xue Bao Yi Xue Ban. 2017 Jan 25;46(1):89-91. doi: 10.3785/j.issn.1008-9292.2017.02.13.
A 12-year-old girl presented with a history of cervical mass, and one week of throat discomfort and dyspnea. Five years ago, the patient was diagnosed as Hashimoto's thyroiditis and hyperthyroidism; she received antithyroid drug treatment, but the result was not satisfactory. B-ultrasonic showed that the size of thyroid gland was 8.1 cm×3.2 cm in the left and 8.2 cm×4.8 cm in the right. After iodine 131 combined with radiofrequency ablation (RFA) treatment, throat discomfort and recumbent breathing difficulties disappeared, and B-ultrasonic showed that the size of thyroid reduced to 2.3 cm×1.7 cm (left) and 2.8 cm×2.0 cm (right). No recurrence was observed during the two and a half years of follow-up.
一名12岁女孩，有颈部肿块病史，伴有一周的咽喉不适和呼吸困难。五年前，该患者被诊断为桥本甲状腺炎和甲状腺功能亢进；她接受了抗甲状腺药物治疗，但效果不佳。B超显示甲状腺大小左侧为8.1 cm×3.2 cm，右侧为8.2 cm×4.8 cm。经碘131联合射频消融（RFA）治疗后，咽喉不适和平卧呼吸困难消失，B超显示甲状腺大小缩小至左侧2.3 cm×1.7 cm，右侧2.8 cm×2.0 cm。随访两年半期间未观察到复发。
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