| 结节性甲状腺肿术后抑制治疗时间研究 |
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| 引用本文： | 李燕书,王海刚,张立献,何柳佳,黎辉,马顺茂,赵文增,祁荣,王巨泽,孙晓艳.结节性甲状腺肿术后抑制治疗时间研究[J].中国误诊学杂志,2011,11(32):7828-7829. |
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| 作者姓名： | 李燕书 王海刚 张立献 何柳佳 黎辉 马顺茂 赵文增 祁荣 王巨泽 孙晓艳 |
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| 作者单位： | 1. 河北医科大学附属华北石油管理局总医院普外二科,河北任丘,062552
2. 渤海石油职业学院护理系,河北任丘,062552 |
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| 摘 要： | 目的探讨结节性甲状腺肿患者行甲状腺切除术后抑制治疗的作用起始时间与腺体切除范围的关系。方法将60例结节性甲状腺肿患者行单侧切除组30例和双侧切除组30例,分为抑制治疗组(n=15)和对照组(n=15),于术后第5天、第9天和第14天检测血清促甲状腺激素(血清s-TSH)水平,配对比较手术前后变化。结果单侧切除患者:术后第5天和第9天两组的血清s-TSH无明显差别,而术后第14天,抑制治疗组的血清s-TSH明显降低(P<0.05);双侧切除组患者:术后第5天、第9天和第14天抑制治疗组的血清s-TSH均显著下降。结论术后促甲状腺激素水平变化与腺体切除范围有关,单侧切除患者宜2周后开始抑制治疗,双侧切除患者术后应立即开始抑制治疗。
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| 关 键 词： | 甲状腺肿 结节性/治疗 |
Study on suppressive therapy in patients with multinodular goiter after thyroidectomy |
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| LI Yan-shu,WANG Hai-gang,ZHANG Li-xian,HE Liu-jia,LI Hui,MA Shun-mao,ZHAO Wen-zeng,QI Rong,WANG Jiu-ze,SHUN Xiao-yan.Study on suppressive therapy in patients with multinodular goiter after thyroidectomy[J].Chinese Journal of Misdiagnostics,2011,11(32):7828-7829. |
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| Authors: | LI Yan-shu WANG Hai-gang ZHANG Li-xian HE Liu-jia LI Hui MA Shun-mao ZHAO Wen-zeng QI Rong WANG Jiu-ze SHUN Xiao-yan |
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| Institution: | LI Yan-shu,WANG Hai-gang,ZHANG Li-xian,HE Liu-jia,LI Hui,MA Shun-mao,ZHAO Wen-zeng,QI Rong,WANG Jiu-ze,SHUN Xiao-yan Department of General Surgery,General Hospital of North China Petroleum Administration Bureau Affiliated to Hebei Medical University,Renqiu 062552,China |
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| Abstract: | Objective To study the alterations of the serum TSH in patients with multinodular goiter after thyroidectomy,and to assess the relationship between time of suppressive therapy and extent of thyroidectomy.Methods Sixty female patients with multinodular goiter were divided into unilateral resection group(n=30) and bilateral resection group(n=30).Then each group was divided into suppressive therapy group(n=15) and control group(n=15).The serum TSH test was done at day 5,day 9 and day 14 after thyroidectomy.The... |
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| Keywords: | Goiter Nodular/therapy |
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