Galkin E V, Grakov B S, Protopopov A V
Vestn Rentgenol Radiol. 1994 May-Jun(3):29-35.
To suppress Thyroid pathologic activity in diffuse toxic goitre the authors have for the first time resorted to roentgenoendovascular functional thyroiedctomy. This method consists in vascular isolation of the thyroid by superselective catheterization of the left and right thyroid arteries followed by their material occlusion. For embolization a wide spectrum of nonlyzed synthetic, organic, and inorganic materials were used. The operation was carried out in 32 patients with stages III-IV diffuse toxic gotre. The advantages of this technique over subtotal thyroidectomy are emphasized. A stable clinical and hormonal remission and reduction of thyroid size to first degree were observed in all the patients for more tham 1.5 years after roentgenoendovascular intervention.
为抑制弥漫性毒性甲状腺肿的甲状腺病理活性,作者首次采用了X线血管内功能性甲状腺切除术。该方法包括通过对左右甲状腺动脉进行超选择性插管对甲状腺进行血管隔离,随后对其进行实质性闭塞。栓塞时使用了多种未溶解的合成、有机和无机材料。对32例III-IV期弥漫性毒性甲状腺肿患者实施了该手术。强调了该技术相对于甲状腺次全切除术的优势。在X线血管内干预后1.5年多的时间里,所有患者均观察到稳定的临床和激素缓解,甲状腺大小缩小至I度。