栓塞甲状腺动脉治疗Graves病的临床分析

目的 探讨难治性Graves病介入栓塞治疗的方法并观察疗效。方法 8例难治性Graves病患，采用Seldinger方法穿刺超选择插管至甲状腺动脉，使用PVA微球栓塞治疗，观察栓塞后临床症状及甲状腺大小的变化。结果 随访4个月—2年，临床症状缓解，并停用抗甲状腺药物。甲状腺明显缩小。无严重并发症。结论 介入栓塞治疗Graves病是一种安全、有效的新方法，为Graves病的治疗开辟了一种新的途径，但远期疗效尚需进一步观察。

Clinical study on embolization of thyroid arteries in the treatment of Graves disease

Objective To investigate method of interventional embolization in the treatment of refractory Graves disease and its clinical effects.Methods Catheters were inserted into thyroid arteries superselectively with Seldinger's and interventional embolization of these arteries was performed by PVA microspheres in 8 patients with refractory Graves disease.The clinical symptoms and the size of thyroid glands were observed after embolization.Results Followed up by 4 months to 2 yesrs,clinical symptoms was ameliorated,the size of thyroid glands decreased remarkably.No serious complications were found.Conclusion The interventional embolization is a new effective method and has opend a new way for the treatment of Graves disease.But the late result needs further observation.