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甲状腺动脉栓塞治疗甲状腺机能亢进症43例分析 被引量:2

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摘要 目的:探讨栓塞甲状腺动脉治疗甲状腺机能亢进症的方法并观察疗效。方法:使用微球栓塞剂和毛弹簧栓共栓塞43例129支甲状腺动脉。结果:43例患者栓塞后1个月T3中位值自7.41 nmol/L降至1.77 nmol/L,T4中位值自146.10 nmol/L降至111.67 nmol/L,心率中位值106次/min降至79次/min(P<0.01),临床症状缓解或消失,随访超过12个月的27例在停用抗甲状腺药的情况下可有效控制症状。6例间断使用抗甲状腺药的情况下可有效控制症状,未发生甲状腺功能低下、甲状旁腺功能异常和甲亢危象等并发症。结论:甲状腺动脉栓塞是甲状腺机能亢进症综合治疗中可供选择的有效手段,较手术治疗、131治疗具有安全、微创、并发症少等优点,其长期疗效有待进一步观察。
出处 《中国误诊学杂志》 CAS 2008年第13期3200-3201,共2页 Chinese Journal of Misdiagnostics
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