Ermans A M
Acta Chir Belg. 1978 Nov-Dec;77(6):409-13.
The administration of synthetic antithyroid drugs or of l131, and subtotal resection of the thyroid gland remain the treatments of hyperthyroidism. Precise criteria will determine the choice. Surgery is the treatment of large goitres, of associated ophthalmic disorders and of recurrence after medical treatment. Drugs are indicated at the first occurrence of hyperthyroidism in young subjects with a small goitre; it will also be used as a preparation for surgery associated to Lugol and Levothyroxine. Finally l131 is indicated in medium size hyperthyroid goitres in patients over 45 years. Each treatment has advantages and drawbacks which must be taken into account for the therapeutic choice and the follow-up.
合成抗甲状腺药物、碘-131的应用以及甲状腺次全切除术仍然是治疗甲状腺功能亢进症的方法。精确的标准将决定治疗方法的选择。手术适用于治疗大甲状腺肿、伴有眼部疾病以及药物治疗后复发的情况。对于年轻、甲状腺肿较小的首次发生甲状腺功能亢进症的患者，建议使用药物治疗；药物也可作为与卢戈氏碘液和左甲状腺素联合使用的手术前准备。最后，碘-131适用于45岁以上中等大小甲状腺功能亢进性甲状腺肿的患者。每种治疗方法都有其优缺点，在治疗选择和随访过程中必须予以考虑。
