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甲状腺功能亢进症的治疗现状与展望
引用本文:施秉银.甲状腺功能亢进症的治疗现状与展望[J].西安交通大学学报(医学版),2008,29(4).
作者姓名:施秉银
作者单位:西安交通大学医学院第一附属医院内分泌科,陕西西安,710061
摘    要:介绍了甲状腺功能亢进症的治疗现状及临床研究新进展。目前,治疗甲亢的基本方法仍然是抗甲状腺药物应用。经药物治疗后复发、甲状腺明显肿大且伴有甲亢心及肝功能损害、中老年甲亢应积极采取131I治疗。甲状腺巨大、结节性甲状腺肿伴甲亢、甲亢合并甲状腺结节不能除外恶性者应积极采取手术治疗。根据患者的病情合理选择不同的治疗方法可获得良好治疗效果。

关 键 词:甲状腺功能亢进症  抗甲状腺药物  放射性碘  手术

Current situation and prospects of management of hyperthyroidism
Shi Bing-yin.Current situation and prospects of management of hyperthyroidism[J].Journal of Xi‘an Jiaotong University:Medical Sciences,2008,29(4).
Authors:Shi Bing-yin
Abstract:The current situation and recent clinical progress of management of hyperthyroidism are introduced.The basic treatment for hyperthyroidism is antithyroid drugs.However,radioiodine should be administered in patients with relapse after treatment with antithyroid drugs,significantly enlarged thyroid with thyrotoxic heart disease or hepatic function impairment,or elder patients.Besides,thyromegaly,nodular goiter,or suspected malignant thyroid nodule should be managed with surgical treatment actively.It can achieve favorable results to choose the individualized treatment according to the patient's condition.
Keywords:hyperthyroidism  antithyroid drug  radioiodine  operation
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