摘要
目的:探讨Graves病伴发周期性麻痹(TPP)131I治疗效果。方法:131I治疗GD伴发TPP患者678例,回顾分析临床资料。结果:131I治疗后6个月,545例患者痊愈,其中发生甲低108例,甲亢缓解101例,甲亢治疗后无效32例。甲亢痊愈患者有3例TPP再发,甲亢缓解患者6例TPP再发,甲亢治疗无效患者有27例再发TPP。甲低患者无再发TPP者。结论:131I治疗GD伴TPP患者安全有效,应作为TPP患者的首选治疗方法。
Objective：Tu evaluate clinical ef- ficacy of ^131 treatment for thyrotoxic period- ic paralysis （TPP）. Methods： 678 patients with TPP were treated with 1311. Allpatients were followed up for 6 months ＇,filer 131 treatment, the outcome of hyperthyroidism and TPP were analyzed. Results：Of the 678 patients, 545/678 （ including 108 hypothy- roid patients ） recovered, 101/678were par- tial remission, and 32/678were ineffective. As for the TPP, the cure rate was 542/545 in recovery group, 95/101 in partial remis- sion gruup and only 5/32 in ineffective group. Conclusion ： 131 I therapy for hyperthy- roidism is safe and effective, it should be the prefem＇ed treatment for the patients with TPP.
关键词
GRAVES病
周期性麻痹
131I治疗
ttyperthyroidism
ttypokalemic periodic paralysis
^131 I treatment
