碘131联合射频消融治疗儿童甲状腺功能亢进症伴重度甲状腺肿一例

Iodine 131 joint radio frequency ablation treatment for child with hyperthyroidism goiter:one case report

一例12岁8个月女童,发现颈部肿块5年余,喉部不适、呼吸困难一周入院。患儿5年前被诊断为"桥本甲状腺炎、甲状腺功能亢进症",药物治疗后甲状腺功能仍有波动。本次入院后颈部超声检查提示左侧甲状腺大小为8.1 cm×3.2 cm,右侧为8.2 cm×4.8 cm。行碘131联合射频消融治疗后,患儿喉部不适、呼吸困难症状消失,超声检查提示左侧甲状腺缩小至2.3 cm×1.7 cm,右侧缩小至2.8 cm×2.0 cm。随访两年半,无复发。

A 12-year-old girl presented with a history of cervical mass, and one week of throat discomfort and dyspnea. Five years ago, the patient was diagnosed as Hashimoto＇ s thyroiditis and hyperthyroidism; she received antithyroid drug treatment,but the result was not satisfactory. B-ultrasonic showed that the size of thyroid gland was 8.1 cm ×3.2 cm in the left and 8.2 cm ×4.8 cm in the right. After iodine 131 combined with radiofrequency ablation （RFA） treatment, throat discomfort and recumbent breathing difficulties disappeared, and B-ultrasonic showed that the size of thyroid reduced to 2.3 cm ×1.7 cm （left） and 2. 8 cm ×2.0 cm （right）. No recurrence was observed during the two and a half years of follow-up.