甲状腺功能亢进症的介入治疗

INTERVENTIONAL THERAPY FOR HYPERTHYROIDISM

目的探索安全、有效、快捷治疗甲状腺功能亢进症（甲亢）的新方法。方法１９９５～２０００年，我科采用双侧甲状腺上动脉介入栓塞法治疗甲亢３８例。结果全组病例无异位栓塞和死亡，２例发生甲亢危象。３８例随访０．５～５年，平均２年２个月，除１例复发需服药治疗外，余均治愈，疗效满意。结论介入治疗甲亢具有损伤小，并发症低，恢复快等优点，是一合理而安全治疗甲亢的新方法。

Objective To evaluate the safety and effectiveness of interventional therapy for hyperthyroidism. Methods From 1995 to 2000, 38 cases underwent bilateral super-selective superior thyroid arteries embolization with brownalgae microballs. Results There was no misembolization and mortality. Hyperthyroidism crisis developed in 2 cases. Thirty eight cases were followed-up for 0.5-5 years (the median time was 2. 2 years). Medications were needed only in one patient because of relapse and the others were cured. Conclusion This procedure features miniinvasive trauma, less complications and quick recovery. It may be a safe and rational treatment for hyperthyroidism.