临床荟萃 ›› 2016, Vol. 31 ›› Issue (3): 233-236.doi: 10.3969/j.issn.1004-583X.2016.03.001

• 专题 •    下一篇

Graves' 甲状腺功能亢进症的正确诊断与规范化治疗

冯珏   

  1. 河北医科大学第二医院 核医学科, 河北 石家庄 050000
  • 收稿日期:2015-10-19 出版日期:2016-03-05 发布日期:2016-04-18
  • 通讯作者: 冯珏,Email:feng-jue@163.com
  • 作者简介:冯珏,主任医师、教授。河北医科大学第二医院核医学科主任,核医学教研室主任。中华医学会核医学分会全国委员。中华医学会核医学分会甲状腺病治疗学组副组长。中华医学会核医学分会大型医用设备临床使用评价标准制定工作委员会主任委员。中国医学影像技术研究会全国理事。中国核学会核医学分会全国理事。中国医师协会核医学分会全国理事。河北省核医学专业委员会前任主委。河北省核医学专业质量与管理控制中心主任。从事核医学临床、教学及科研工作30多年,撰写科研论文80余篇,获河北省科技厅科研成果奖2项,省厅科研成果奖8项,主编参编医学著作8部,擅长核医学SPECT/CT影像诊断及甲状腺疾病核素治疗。

Correct diagnosis and standardized treatment of Graves' hyperthyroidism

Feng Jue   

  1. Department of Nuclear Medicine,the Second Hospital of Hebei Medical University,Shijiazhuang 050000,China
  • Received:2015-10-19 Online:2016-03-05 Published:2016-04-18
  • Contact: Feng Jue, Email:feng-jue@163.com

摘要: Graves'甲状腺功能亢进症(甲亢)是临床常见病和多发病,该病的正确诊断与鉴别诊断及规范性治疗直接关系到临床疗效。目前公认的3种治疗方法内科药物治疗、核医学科放射性131碘治疗及外科手术治疗各有其优、缺点,如何正确诊断该病并选择行之有效的规范化治疗方法显得尤为重要。文中从4方面进行了阐述:①Graves'甲亢正确诊断与鉴别诊断; ②甲状腺核素显像在规范化治疗中的价值;③Graves'甲亢的规范化治疗;④Graves'甲亢的治疗进展。

关键词: 甲状腺功能亢进症, 诊断, 治疗, 放射性核素显像

Abstract: Graves' disease is a clinical common and frequently-occurring disease, the correct diagnosis, differential diagnosis and standardized treatment of the disease directly relate to curative effect.Now widely accepted the three kinds of treatment,oral medicine treatment, nuclear medicine radioactive iodine 131 treatment and surgical treatment have their advantages and disadvantages, how to correctly diagnose the disease, select effective and standardized treatment are particularly important.The author expounded from four aspects: ①Graves' disease correct diagnosis and differential diagnosis; ②Value of thyroid scintigraphy imaging;③Graves' disease standardized treatment;④ Graves' disease treatment progress.

Key words: hyperthyroidism, diagnosis, treatment, radionuclide imaging

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