甲状腺毒症的外科治疗。
Surgical treatment of thyrotoxicosis.
作者信息
Hedley A J, Flemming C J, Chesters M I, Michie W, Crooks J
出版信息
Br Med J. 1970 Feb 28;1(5695):519-23. doi: 10.1136/bmj.1.5695.519.
Abstract
A retrospective study of thyrotoxic patients treated by subtotal thyroidectomy between 2 and 21 years ago in the north-east of Scotland showed that 20% of the patients could not be identified or traced at the time of the survey. The thyroid status of 40% of patients followed up was abnormal.It is now accepted that radioiodine treatment of thyrotoxicosis is followed by a significant incidence of late onset hypothyroidism, and life-long follow-up is regarded as obligatory. The findings in this study indicate that similar methods of aftercare are required for surgically treated patients and for all patients receiving thyroxine-replacement therapy.
摘要
一项对2至21年前在苏格兰东北部接受甲状腺次全切除术治疗的甲状腺毒症患者的回顾性研究表明，在调查时，20%的患者无法被识别或追踪到。接受随访的患者中有40%的甲状腺状况异常。现在人们已经认识到，放射性碘治疗甲状腺毒症后，迟发性甲状腺功能减退的发生率很高，因此终身随访被认为是必要的。这项研究的结果表明，手术治疗的患者和所有接受甲状腺素替代治疗的患者都需要类似的术后护理方法。
相似文献
1
Surgical treatment of thyrotoxicosis.甲状腺毒症的外科治疗。
Br Med J. 1970 Feb 28;1(5695):519-23. doi: 10.1136/bmj.1.5695.519.
2
A follow-up scheme for detecting hypothyroidism in thyrotoxic patients treated with radioiodine.一种用于检测接受放射性碘治疗的甲状腺毒症患者甲状腺功能减退症的随访方案。
Lancet. 1968 Dec 21;2(7582):1336-8. doi: 10.1016/s0140-6736(68)91830-8.
3
Late onset hypothyroidism after subtotal thyroidectomy for hyperthyroidism: implications for long term follow-up.甲状腺次全切除术后甲亢患者发生迟发性甲状腺功能减退症：对长期随访的意义
Br J Surg. 1983 Dec;70(12):740-3. doi: 10.1002/bjs.1800701215.
4
Prediction of hypothyroidism after partial thyroidectomy for thyrotoxicosis.甲状腺毒症行甲状腺部分切除术后甲状腺功能减退的预测
Br Med J. 1972 Jan 1;1(5791):13-7. doi: 10.1136/bmj.1.5791.13.
5
Long term follow-up of treated hyperthyroid and hypothyroid patients.
Health Bull (Edinb). 1993 May;51(3):177-83.
6
Long-term follow-up of surgically treated thyrotoxic patients.
Br Med J. 1968 Sep 14;3(5619):643-6. doi: 10.1136/bmj.3.5619.643.
7
Results of treatment of thyrotoxicosis after postoperative relapse.术后复发的甲状腺毒症的治疗结果
Br Med J. 1969 Jul 26;3(5664):200-3. doi: 10.1136/bmj.3.5664.200.
8
Subtotal thyroidectomy for thyrotoxicosis: a reassessment, including TRH responsiveness.甲状腺次全切除术治疗甲状腺毒症：重新评估，包括促甲状腺激素释放激素反应性。
N Z Med J. 1978 Mar 8;87(607):163-6.
9
[Management of hypothyroidism and hyperthyroidism].[甲状腺功能减退症和甲状腺功能亢进症的管理]
Vnitr Lek. 2015 Oct;61(10):868-72.
10
[Current status of thyroid function diagnosis].[甲状腺功能诊断的现状]
Lakartidningen. 1976 May 19;73(21):2014-6.
引用本文的文献
1
Complications in primary and completed thyroidectomy.原发性和完成性甲状腺切除术的并发症。
Surg Today. 2010;40(2):114-8. doi: 10.1007/s00595-008-4027-9. Epub 2010 Jan 28.
2
Radioactive iodine (131I) therapy for thyrotoxicosis at Groote Schuur Hospital over a 6-year period.
Postgrad Med J. 1972 May;48(559):308-13. doi: 10.1136/pgmj.48.559.308.
3
Subtotal and near total versus total thyroidectomy for the management of multinodular goiter.甲状腺次全切除术、近全切除术与全切除术治疗结节性甲状腺肿的比较。
World J Surg. 2008 Jul;32(7):1546-51. doi: 10.1007/s00268-008-9541-9.
4
Thyroxine replacement therapy: prescribing patterns and problems in 2710 patients. Scottish Automated Follow-up Register Group.甲状腺素替代疗法：2710例患者的处方模式及问题。苏格兰自动随访登记组。
Br Med J. 1980 Oct 11;281(6246):969-71. doi: 10.1136/bmj.281.6246.969.
5
A Regional Radiotherapy Centre: its development, scope and limitations.一个地区放疗中心：其发展、规模及局限性
Proc R Soc Med. 1971 Feb;64(2):119-24.
6
Recurrent thyrotoxicosis after subtotal thyroidectomy.甲状腺次全切除术后复发性甲状腺毒症
Br Med J. 1971 Oct 30;4(5782):258-61. doi: 10.1136/bmj.4.5782.258.
7
A new simple detector for Achilles reflex measurement.一种用于跟腱反射测量的新型简易探测器。
Med Biol Eng. 1971 Jul;9(4):351-7. doi: 10.1007/BF02474088.
8
Computer-assisted follow-up register for the north-east of Scotland.苏格兰东北部计算机辅助随访登记册。
Br Med J. 1970 Feb 28;1(5695):556-8. doi: 10.1136/bmj.1.5695.556.
9
Endocrine disorders in the elderly.老年人的内分泌紊乱
Br Med J. 1974 Feb 9;1(5901):232-6. doi: 10.1136/bmj.1.5901.232.
10
Hypothyroidism after thyroidectomy for Graves's disease: a search for an explanation.格雷夫斯病甲状腺切除术后的甲状腺功能减退：寻求一种解释。
Br Med J. 1974 Dec 28;4(5947):755-6. doi: 10.1136/bmj.4.5947.755.
本文引用的文献
1
A statistical study of the clinical significance of lymphocytic and fibrocytic replacements in the hyperplastic thyroid gland.甲状腺增生中淋巴细胞和纤维细胞替代的临床意义的统计学研究
J Clin Endocrinol Metab. 1949 Nov;9(11):1202-15, illust. doi: 10.1210/jcem-9-11-1202.
2
The treatment of hyperthyroidism; an evaluation of thyroidectomy, of prolonged administration of propyl thiouracil, and of radioactive iodine.甲状腺功能亢进的治疗；甲状腺切除术、丙硫氧嘧啶长期给药及放射性碘的评估。
Ann Surg. 1951 Jul;134(1):18-28. doi: 10.1097/00000658-195107000-00004.
3
The significance of lymphadenoid changes in the thyroid gland.甲状腺中淋巴结样改变的意义。
J Endocrinol. 1950 Nov;7(1):1-6. doi: 10.1677/joe.0.0070001.
4
Thyrotoxicosis and the surgeon.甲状腺毒症与外科医生
Br J Surg. 1962 Mar;49:465-96. doi: 10.1002/bjs.18004921702.
5
ASSESSMENT OF THYROID FUNCTION BY THE COMBINED USE OF THE SERUM PROTEIN-BOUND IODINE AND RESIN UPTAKE OF 131-I-TRIIODOTHYRONINE.联合使用血清蛋白结合碘和131-I-三碘甲状腺原氨酸树脂摄取量评估甲状腺功能
J Clin Endocrinol Metab. 1965 Jan;25:39-45. doi: 10.1210/jcem-25-1-39.
6
THYROTOXICOSIS TREATED BY SURGERY OR IODINE-131. WITH SPECIAL REFERENCE TO DEVELOPMENT OF HYPOTHYROIDISM.手术或碘 - 131治疗甲状腺毒症。特别提及甲状腺功能减退症的发生。
Br Med J. 1964 Apr 18;1(5389):1005-10. doi: 10.1136/bmj.1.5389.1005.
7
Surgery in thyroid disease.甲状腺疾病的外科治疗
Trans Med Soc Lond. 1961;78:105-39.
8
The routine use of 132-I in the diagnosis of thyroid disease.132-I在甲状腺疾病诊断中的常规应用。
Lancet. 1963 Jan 5;1(7271):8-13. doi: 10.1016/s0140-6736(63)91143-7.
9
A rapid method for the estimation of serum protein-bound iodine.
Clin Chim Acta. 1961 Sep;6:620-3. doi: 10.1016/0009-8981(61)90104-8.
10
Incidence of hypothyroidism and recurrences following I-131 treatment of hyperthyroidism.I-131治疗甲亢后甲状腺功能减退症的发生率及复发情况。
Acta Radiol (Stockh). 1961 Oct;56:275-88. doi: 10.3109/00016926109172822.
Zotero 插件