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目的 13 1I治疗甲亢时利用不同方法测量甲状腺重量来计算给药剂量 ,对疗效进行对比分析。方法 2 65例接受13 1I治疗的甲亢患者分为 4组 ,分别根据甲状腺SPECT断层显像、核素平面显像、B超以及触诊法测量的甲状腺重量来计算给药剂量 ,对比分析治疗后 6个月的疗效。结果 4组患者疗效差异有显著性 (P <0 0 5 ) ,SPECT核素断层显像组疗效最好 ,B超组次之 ,触诊法疗效最差。结论 13 1I治疗甲亢时利用SPECT断层显像测量的甲状腺重量来计算剂量 ,可以弥补其他方法的缺陷 ,能在提高治愈率的同时减少甲状腺功能低下的发生率
Objective 13II treatment of hyperthyroidism using different methods to measure the thyroid weight to calculate the dose, the efficacy of comparative analysis. Methods Twenty-five patients with hyperthyroidism undergoing 131I treatment were divided into four groups, and the dosage of thyroid was calculated according to the thyroid weight measured by SPECT, radionuclide imaging, B-mode ultrasonography and palpation respectively. After comparative analysis, 6 months of efficacy. Results There were significant differences in curative effect between the 4 groups (P <0 05). The SPECT radionuclide imaging group had the best curative effect, the B ultrasonography group followed by the palpation method and the worst curative effect. Conclusion 13II treatment of hyperthyroidism using SPECT tomography measured thyroid weight to calculate the dose, can make up for the other shortcomings, can improve the cure rate at the same time reduce the incidence of hypothyroidism