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介入栓塞治疗10例甲状腺功能亢进症的分析
引用本文:杨吉林,谢士彪,陈友佳,刘杰.介入栓塞治疗10例甲状腺功能亢进症的分析[J].国际内分泌代谢杂志,2006,26(5):354-356.
作者姓名:杨吉林  谢士彪  陈友佳  刘杰
作者单位:341000,赣州,江西赣州市人民医院内分泌科
摘    要:目的探讨用介入栓塞治疗甲状腺功能亢进症(甲亢)的方法、临床疗效及安全性。方法10例反复复发的甲亢患者,经选择性插管至甲状腺双侧上动脉,使用明胶海绵糊进行栓塞治疗,观察栓塞后的临床症状、甲状腺功能及甲状腺大小的变化。结果10例患者均获临床治愈,随访12个月,术前TT32.5~3.5μg/L、TT4125.4~236.8μg/L,术后TT3降至1.3~2.0μg/L,TT4降至64.3~99.3μg/L。甲状腺明显缩小,无严重并发症。结论介入栓塞甲状腺上动脉,能使甲亢达到临床治愈,且安全、副作用少,是治疗甲亢的新方法。

关 键 词:介入治疗  栓塞  甲状腺功能亢进症
收稿时间:2005-12-26
修稿时间:2005年12月26

Interventional therapy of hyperthyroidism with thyroid artery embolism in 10 cases
YANG Ji-lin,XIE Shi-biao,CHEN You-jia,LIU Jie.Interventional therapy of hyperthyroidism with thyroid artery embolism in 10 cases[J].International JOurnal of Endocrinology and Metabolism,2006,26(5):354-356.
Authors:YANG Ji-lin  XIE Shi-biao  CHEN You-jia  LIU Jie
Abstract:Objective To study the method,effect,safty of thyroid-arterial embolization on hyperthyroidism.Methods Superselective arteriography and interventional embolization of thyroid superior arteries were performed by gelfoam in 10 patients with hyperthyroidism.Size,function and clinical symptoms of thyroid were observed.Results 10 patients were cured.Followed up 12 months,the thyroid function gradually returned to normal level in 10 patients.The size of thyroid glands decreased remarkable and no serious complications were found.Conclusion Superior arterial embolotherapy is a new method for the treatment of hyperthyroidism with safty and no side effect.
Keywords:Interventional therapy  Embolization  Hyperthyroidism
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