核素显像指导甲亢手术的临床研究

The contrast study of surgical treatment of hyperthyroidism conducted by nuclear imaging.

为寻找减少甲亢术后复发和甲减发生的方法，对１１０例甲亢病例行核素显像后按局部功能高低切除腺体，８８例按目前普遍采用的次全切除术切除腺体，所有病例术后随访１２（９～１８）个月。结果：１１０例甲亢组无术后甲亢复发，发生甲减１例（０．９１％），８８例甲亢组甲亢复发５例（５．６８％），甲减发生７例（７．９５％），二组病例甲亢复发（χ２＝４．３１）及甲减发生（χ２＝４．５７）差异有显著意义（Ｐ均＜０．０５）。结论：核素显像指导甲亢手术具有重要的临床实用价值。

To research a method of reduction recurrence and hypothroidism after hyperthyroidectomy.110 of 198 selected hyperthyroidisms were treated surgically according to the glands local function confirmed by nuclear imaging,88 of 198 were treated by popular subtotal thyroidectomy at prent.All cases were followed up for 12(9￣18)months.RESULTS:During the following up ,no recurrence were found in the 110 cases,and only one of them occured hypothyroidism(0 91%).The others,5 of them recurred(5 96%),and 7 of them occurred hypothyroidism(7 95%).There were significant difference between two groups(P<0 05).CONCLUSIONS:It is important value of clinical practice that treated hyperthyroidism surgically conducted by nuclear imaging.