论文部分内容阅读
为寻找减少甲亢术后复发和甲减发生的方法，对１１０例甲亢病例行核素显像后按局部功能高低切除腺体，８８例按目前普遍采用的次全切除术切除腺体，所有病例术后随访１２（９～１８）个月。结果：１１０例甲亢组无术后甲亢复发，发生甲减１例（０．９１％），８８例甲亢组甲亢复发５例（５．６８％），甲减发生７例（７．９５％），二组病例甲亢复发（χ２＝４．３１）及甲减发生（χ２＝４．５７）差异有显著意义（Ｐ均＜０．０５）。结论：核素显像指导甲亢手术具有重要的临床实用价值。
To find ways to reduce the incidence of recurrence and hypothyroidism after hyperthyroidism, 110 cases of hyperthyroidism were radionuclide excision according to the level of local function of the gland, 88 cases by commonly used subtotal resection of the glands, all cases The patients were followed up for 12 (9-18) months. Results: Hyperthyroidism recurrence was found in 110 cases of hyperthyroidism, hypothyroidism occurred in 1 case (0.91%), hyperthyroidism recurred in 88 cases (5 cases) (5.68%), hypothyroidism in 7 cases (7.95%), The recurrence of hyperthyroidism (χ2 = 4.31) and hypothyroidism (χ2 = 4.57) in the two groups were significantly different (all P <0.05). Conclusion: Radionuclide imaging has important clinical value in guiding hyperthyroidism.