^(131)I治疗老年人甲亢97例分析

The clinical analysis of 97 patients with the elder hyperthyroidism treated with radioiodine

目的探讨老年人甲状腺机能亢进症 (以下简称老年人甲亢 )的临床特征及13 1I治疗的疗效。方法对 97例资料齐全诊断明确的老年人甲亢患者进行13 1I治疗 ,追踪观察治疗后 1- 2年甲亢的治愈率及其合并症的转归。结果 (1)老年人甲亢患者症状、体征多不典型 ;(2 ) 97例患者中 ,治愈 6 8例 (70 1% ,其中早发甲低 6例 ) ,好转 2 2例 (2 2 .7% ) ,无效 7例 (7 2 % )。有合并症的 5 3例患者中 ,临床治愈 4 5例 (84 9% ) ,好转 5例 (9 4 % ) ,无效 3例 (5 7% )。结论 13 1I治疗对老年人甲亢的疗效非常理想 ,应作为老年人甲亢的首选治疗方法。

Objective The purpose of this study is to analyze the clinical character of the elder hyperthyroidism and the clinical effect of 131I,Methods 97 patients with the elder hyperthyroidism,which are provided with complete clinical information and diagnosed well, were treated with radioiodine; the clinical effect of 131I and the conversion of the hyperthyroidism syndrome were traced pro-therapy 1-2 years. Results (1) There is no typical hyperthyroid symptom in 97 patients; (2) 68/97 patients are cured (70.1%, including 6 patients with premature hypothyroidism), 22/97 patients are effective(22.7%), 7/97 patients are no effective (7.2%). 53/97 patients had combination. 45/53 patients are cured (84.9% ), 5/53 patients are effective (9.4%), 3/53 patients are no effective(5.7% ).Conclusion It is an ideal and a chief choice method to treat the elder hyperthyroidism with radioiodine.