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1、1311治疗单叶Graves'病的临床分析张怡袁卫红(通讯作者)(昆明医科大学第二附属医院核医学科650101)【摘要】目的分别观察60例经过1311治疗的单叶Graves,病患者和双叶Graves,病患者的临床和随访资料，分析和比较1311治疗单叶Graves,病和双叶Graves,病患者的临床疗效。方法两组患者分别采取1311治疗，治疗后均进行随访观察，通过对比1311治疗后甲状腺缩小程度及治疗疗效的情况，来分析1311治疗单叶Graves,病及双叶Graves,病的临床效果。结果单叶Graves,病1311治疗组：治疗前
2、后甲状腺体积缩小有明显的统计学差异。痊愈43例(71.7%)、好13例(21.7%)、无效4例(6.6%),有效率93.3%,治愈率71.7%。双叶Graves,病1311治疗组:痊愈46例(76.7%)、好转口例(18.3%)、无效3例(5.0%),有效率95.0%，总治愈率76.7%。结论对于单叶Graves,病采取1311治疗，其疗效与1311治疗双叶Graves,病并无明显差异。单叶Graves,病患者，针对甲状腺显像中摄得功能亢进的一叶甲状腺组织进行估重，釆取1311治疗，只要治疗剂量得当，坚持个体化治疗方案，加强治
3、疗后随访，均可达到有效的疗效。1311治疗单叶Graves,病，具有有效、安全、经济的优点。【关键词】Graves,病核素治疗1311【中图分类号】R45【文献标识码】A【文章编号】2095-1752(2014)08-0045-03Theclinicalanalysisof1311treatmentinthesingleleafGraves,diseaseZHANGYi,YUANWei-hong.DepartmentofNuclearMedicine,thesecondAffiliatedhospitalofKunmingUn
4、iversity,Kunming650101,ChinaCorrespondingauthor:YUANWei-hong,Email:yuantianhe@163.com[Abstract】ObjectiveThesingleleafGraves,andthedoubleleavesGraves,patientswereobservedin60casesafter1311treatment,andobservetheclinicalandfollow-updataofpatients,analysisandcomparison
5、of1311inthetreatmentofthesingleleafGraves,andthedoubleleavesGraves,inpatientswithclinicalefficacy.MethodTwogroupsofpatientswereadopted1311treatment,follow-upobservationwereperformedaftertreatment,comparedwiththe1311treatedthyroidnarrowingeffectdegreeandtreatmentsitu
6、ation,toanalyzethe1311treatmenteffectinthesingleleafGraves,andthedoubleleavesGraves,.ResultThesingleleafGraves,1311treatmentgroup:beforeandafterthetreatmentofthyroidvolumereductionofthestatisticallysignificantdifferenee.43caseswerecured(71.7%),improvedin13cases(21.7
7、%),invalid4cases(6.6%),effectiveratewas93.3%,thecureratewas71.7%.ThedoubleleavesGraves,1311treatmentgroup:46caseswerecured(76.7%),improvedin12cases(18.3%),invalid3cases(5%),effectiveratewas95%,thecureratewas76.7%.ConclusionForthesingleleafGraves,diseasetake1311treat
8、ment,thecurativeeffectoftreatmentwith1311inthedoubleleavesGraves,diseasewithnotsign讦icantdifferenee.ThesingleleafGraves,patientsinthyroidt
