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目的 研究药物、手术、放射性碘治疗三种方法对 Graves病 (GD)的有效率、复发率及其相关性。方法 采用回顾性调查方法 ,分析 2 12例 GD患者的治疗情况及预后。结果 治疗停止半年后治愈率分别为药物组 78.6 %、手术组 91.9%、放疗组 95 .2 % ,治疗后 5年治愈率分别为药物组5 4.5 %、手术组 90 .6 %、放疗组 81.8%。结论 治疗后半年及 5年药物组治愈率均低于手术组和放疗组 ,而复发率则相反。药物组有 18例患者长期治疗无效 ,手术组与放疗组疗效接近。
Objective To study the effective rate, relapse rate and relativity of Graves disease (GD) by three methods of medicine, surgery and radioactive iodine treatment. Methods The retrospective investigation method was used to analyze the treatment and prognosis of 2 12 GD patients. Results The cure rate after six months of treatment was 78.6% in the drug group, 91.9% in the operation group and 95.2% in the radiotherapy group, respectively. The cure rates after 5 years were 5.54% in the drug group, 90.6% in the operation group and 81.8% in the radiotherapy group %. Conclusions The cure rates of the drug group in six months and five years after treatment were lower than those in the operation and radiotherapy groups, but the relapse rates were opposite. Long-term treatment of 18 patients in the drug group was ineffective, and the efficacy of the operation group and the radiotherapy group was similar.