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目的提高对桥本病甲亢的认识。方法总结1999年7月~2006年12月甲状腺手术后甲亢并桥本病患者的资料,与近期甲亢并桥本病患者内科治疗后资料对比。结果手术治疗患者5年以后大多因出现甲状腺功能低下而应用甲状腺片等替代治疗,相对的仅内科治疗患者遗留问题较少。结论对于桥本病合并甲亢的患者,内科治疗优于外科治疗。
Objective To raise awareness of Hashimoto’s disease with hyperthyroidism. Methods The data of patients with hyperthyroidism and Hashimoto’s thyroiditis after thyroid surgery from July 1999 to December 2006 were compared with those of the patients with hyperthyroidism and Hashimoto’s disease after medical treatment recently. Results Surgical treatment of patients after 5 years mostly because of hypothyroidism and the thyroid tablets and other alternative treatment, the relative medical treatment only patients with less problems. Conclusion Hashimoto’s disease with hyperthyroidism in patients with medical treatment is better than surgical treatment.