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本文对40例各种类型的甲亢患者,根据扫描特点给予不同剂量的~(131)碘治疗,随访10年观察其疗效。40例患者服~(131)碘2～8毫居里,平均剂量为4.4毫居里。治疗结果为痊愈35例(87.5%),明显好转3例(7.5%),好转1例(2.5%),甲低1例(2.5%)。疗效与甲状腺扫描特点有关,与甲状腺肿大程度无关。一般扫描均匀型者治愈率较高。我们认为在应用~(131)碘对甲亢的治疗时,考虑甲状腺扫描的3种特点,以决定剂量、观察疗效是有意义的。
In this paper, 40 cases of various types of patients with hyperthyroidism, according to the characteristics of the scan was given different doses of 131I treatment, followed up for 10 years to observe its efficacy. Forty patients received ~ (131) iodine 2-8 millicuries, with an average dose of 4.4 millicuries. The cure rate was 35 cases (87.5%) cured, 3 cases (7.5%) improved obviously, 1 case improved (2.5%) and 1 case low (2.5%). Efficacy and thyroid scan characteristics, has nothing to do with the degree of goiter. The average scan rate is higher cure rate. We believe that in the application of 131I treatment of hyperthyroidism, consider the three characteristics of thyroid scan to determine the dose to observe the effect is meaningful.