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内分泌性眼眶病(格雷夫斯病)的多学科诊断与治疗(作者译)

[Interdisciplinary diagnosis and treatment of endocrine orbitopathy (Graves' disease) (author's transl)].

作者信息

Wulle K G, Brunk G, Utech C, Pfannenstiel P

出版信息

Klin Monbl Augenheilkd. 1980 Nov;177(5):551-5. doi: 10.1055/s-2008-1057686.

Abstract

Diagnosis and treatment of Graves' Disease requires in close cooperation between ophthalmologists, nuclear physicians and radiotherapists. Following detailed thyroid diagnostics, a prerequisite to balancing thyroid function, measures may be taken against eye and orbita changes, in accordance with the degree of severity of the disease. A classification of Graves' disease demands careful ophthalmological diagnosis, supplemented by sonography and computer tomography of the orbita. Corresponding to the stages of the disease described, therapeutic measures are outlined; these consist essentially of systemic cortico-steroid treatment, high-voltage radiation of the retrobulbar space, prism therapy and surgery of the muscles.

摘要

格雷夫斯病的诊断与治疗需要眼科医生、核医学医生和放射治疗师密切合作。在进行详细的甲状腺诊断(这是平衡甲状腺功能的前提条件)之后,可根据疾病的严重程度,针对眼部和眼眶变化采取相应措施。格雷夫斯病的分类需要仔细的眼科诊断,并辅以眼眶超声检查和计算机断层扫描。根据所描述的疾病阶段,概述了相应的治疗措施;这些措施主要包括全身皮质类固醇治疗、球后间隙高压放射治疗、棱镜治疗和肌肉手术。

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