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131I治疗Graves病的疗效及相关因素的回顾性分析
引用本文:谢彦,吴克芳,罗芙蓉,徐泉凤,杨军,黄智慧,王超群,程光华.131I治疗Graves病的疗效及相关因素的回顾性分析[J].中国临床药理学与治疗学,2011,16(3):313-316.
作者姓名:谢彦  吴克芳  罗芙蓉  徐泉凤  杨军  黄智慧  王超群  程光华
作者单位:皖南医学院弋矾山医院核医学科,芜湖,241001,安徽
摘    要:目的:回顾分析131I治疗Graves病的临床疗效与相关的影响因素。方法:对本科406例接受131I治疗的Graves病患者进行了1年~2.5年的跟踪随访,分析一次治疗的治愈率和甲减发生率与患者的性别、年龄、甲状腺重量及131I剂量等因素的关系。结果:在随访406例病人中,治愈248例(61.08%),好转155例(38.18%),甲减118例(29.06%),无效3例(0.74%),总有效率99.26%。性别、年龄对Graves病一次131I治疗的治愈率及甲减发生率的影响差异无统计学意义(P>0.05);甲状腺重量1、31I剂量对治愈率及甲减发生率的影响有统计学差异(P<0.01)。结论:131I治疗Graves病安全、简便、效果显著,可作为Graves病的首选治疗方法。甲状腺重量1、31I剂量等因素可影响131I一次治疗Graves病的疗效及甲减发生率。

关 键 词:Graves病  131I  治愈率  甲减发生率

Effects of Idine-131 therapy of Graves disease and some correlative factors
XIE Yan,WU Ke-fang,LUO Fu-rong,XU Quan-feng,YANG Jun,HUANG Zhi-hui,WANG Chao-qun,CHENG Guang-hua.Effects of Idine-131 therapy of Graves disease and some correlative factors[J].Chinese Journal of Clinical Pharmacology and Therapeutics,2011,16(3):313-316.
Authors:XIE Yan  WU Ke-fang  LUO Fu-rong  XU Quan-feng  YANG Jun  HUANG Zhi-hui  WANG Chao-qun  CHENG Guang-hua
Institution:XIE Yan,WU Ke-fang,LUO Fu-rong,XU Quan-feng,YANG Jun,HUANG Zhi-hui,WANG Chao-qun,CHENG Guang-huaDepartment of Nuclear Medicine,Yijishan Hospital,Wannan Medical College,Wuhu 241001,Anhui,China
Abstract:AIM: To retrospectively analysis the clinical effect of 131I therapy of Graves disease and some correlative factors.METHODS: The effects of some factors which including gender,age,thyroid weight and 131I dose on the cure rate and the incidence rate of hypothyroidism were observed,through the follow-up of 406 cases between 12 and 29 months of 131I therapy of patients with Graves disease in our hospital.RESULTS:406 patients,the follow-up showed that the therapy was recovered in 248(61.08%),effective 155(38.18...
Keywords:131I
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