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目的:分析采用甲状腺动脉栓塞术对甲亢进行治疗的疗效。方法:抽取2014年2月至2015年2月茂名市中医院收治的10例甲亢患者,对其实施甲状腺动脉造影操作后,通过聚乙稀醇微球(PVA)有效栓塞患者血管。分析患者甲状腺动脉栓塞具体情况、栓塞后患者甲状腺功能以及产生的并发症。结果:有3例患者为两上动脉栓塞;3例两上以及左下动脉栓塞;1例两上以及右下动脉栓塞;1例左上以及右下动脉栓塞;1例两下动脉栓塞;1例最下、左上、部分右上并且两下患者,同时术后患者FT3降低(3.04±1.92)nmol/L,FT4也减小至(172.34±88.44)nmol/L,手术前后FT3以及FT4的比较,差异具有统计学意义(P<0.05),没有出现严重并发症。结论:采用甲状腺动脉栓塞术对甲亢患者进行治疗,可以获得比较好的疗效,尤其是可以给常规治疗存在一定困难的患者带来新的有效治疗途径。
Objective: To analyze the therapeutic effect of thyroid artery embolization on hyperthyroidism. Methods: Totally 10 patients with hyperthyroidism admitted from February 2014 to February 2015 in Maoming City Hospital of Traditional Chinese Medicine were enrolled in this study. They were successfully embolized by polyethylene glycol microspheres (PVA) after performing thyroid arteriography. Analysis of patients with thyroid artery embolism specific circumstances, patients with thyroid function and complications. Three patients had two upper and lower left arterial embolisms, one upper and lower right arterial embolism, one upper left and right lower arterial embolism, one lower extremity arterial embolization and one lowermost arterial embolization (3.04 ± 1.92) nmol / L and FT4 also decreased to (172.34 ± 88.44) nmol / L respectively. There were significant differences in the FT3 and FT4 between before and after surgery Statistical significance (P <0.05), no serious complications. Conclusion: Thyroid artery embolization for patients with hyperthyroidism can achieve better therapeutic effects, especially for those who have some difficulties in conventional treatment.