Clerici T, Oettli R, Lange J
Klinik für Chirurgie, Kantonsspital St. Gallen.
Schweiz Med Wochenschr. 1995 Aug 19;125(33):1546-51.
Radioiodine and surgery are the therapeutic tools of choice for the definitive treatment of patients suffering from hyperthyroidism. The decision on the therapy to choose for an individual patient will depend on several different factors: etiology of the hyperthyroidism, size of the goiter, age and general medical considerations, availability of radioiodine therapy or of an experienced endocrine surgeon, and the patient's own preferences. It is important for the general practitioner attending and advising a patient to have a basic knowledge of both therapeutic modalities. An overview of indications, results and risks of the radioiodine and surgical therapy is presented.
放射性碘和手术是确定性治疗甲状腺功能亢进症患者的首选治疗手段。对于个体患者选择何种治疗方法的决策将取决于几个不同因素：甲状腺功能亢进症的病因、甲状腺肿的大小、年龄和一般医疗考量、放射性碘治疗或经验丰富的内分泌外科医生的可及性，以及患者自身的偏好。对于诊治并为患者提供建议的全科医生而言，掌握这两种治疗方式的基本知识很重要。本文将概述放射性碘治疗和手术治疗的适应症、疗效及风险。
