甲状腺疾病的诊断治疗进展

被引:20
作者
龚益
机构
[1] 西安交通大学第一医院内分泌科!陕西西安
关键词
甲状腺疾病; Graves眼病; 甲状腺功能减退; 甲状腺结节;
D O I
暂无
中图分类号
R581 [甲状腺疾病];
学科分类号
1002 ; 100201 ;
摘要
近年来对甲状腺疾病诊治方面的研究已取得了一定的进展。 5 0岁以上妇女应行甲状腺功能筛查 ,对筛查出的亚临床甲状腺功能亢进 (甲亢 )者如伴甲状腺肿大或眼病表现及亚临床甲状腺功能减退 (甲减 ) ,其促甲状腺激素水平大于 10mU/L者均需治疗。应用强的松治疗可预防131I治疗后眼病加重及新眼病的发生 ,左旋T4 (L T4 )并不增加抗甲状腺药物治疗甲亢的治愈率 ,而丙基硫氧嘧啶却可降低131I治疗甲亢的治愈率。直径小于 1cm的意外结节如无甲状腺癌家族史及放射线接触史者仅需临床随访。
引用
收藏
页码:174 / 176
页数:3
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