术后复发的甲状腺毒症的治疗结果
Results of treatment of thyrotoxicosis after postoperative relapse.
作者信息
McLarty D G, Alexander W D, Harden R M, Clark D H
出版信息
Br Med J. 1969 Jul 26;3(5664):200-3. doi: 10.1136/bmj.3.5664.200.
Abstract
Ninety patients who had a recurrence of thyrotoxicosis after thyroidectomy have been reviewed. All 10 patients who had a second operation and 18 out of 20 patients treated with a full course of antithyroid drugs relapsed. These results differ greatly from the results of treatment of the first episode of thyrotoxicosis, whether by thyroidectomy or antithyroid drugs. Radioiodine is the treatment of choice in this group of patients, despite the high incidence of hypothyroidism.
摘要
对90例甲状腺切除术后甲状腺毒症复发的患者进行了回顾性研究。接受二次手术的10例患者以及接受全疗程抗甲状腺药物治疗的20例患者中的18例均复发。这些结果与首次甲状腺毒症发作时采用甲状腺切除术或抗甲状腺药物治疗的结果有很大差异。尽管甲状腺功能减退的发生率很高，但放射性碘仍是这类患者的首选治疗方法。
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本文引用的文献
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J Clin Endocrinol Metab. 1965 Jan;25:39-45. doi: 10.1210/jcem-25-1-39.
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