临床荟萃 ›› 2016, Vol. 31 ›› Issue (3): 241-245.doi: 10.3969/j.issn.1004-583X.2016.03.003

• 专题 • 上一篇    下一篇

Graves眼病的诊治

吕晓伟,周红   

  1. 河北医科大学第二医院 内分泌科,河北 石家庄 050000
  • 收稿日期:2015-11-09 出版日期:2016-03-05 发布日期:2016-04-18
  • 通讯作者: 周红,Email:zhoubs2013@163.com
  • 作者简介:周红,女,1967年5月生人,医学博士,主任医师,教授,硕士研究生导师,河北医科大学第二医院内分泌科副主任,河北省和石家庄市医学会内分泌分会委员。多年来从事内分泌与代谢病的临床诊治工作,近年来承担了河北省卫生厅重大项目研究并顺利完成;参与了多项国际多中心合作研究,获得2014年河北省卫计委政府资助临床医学优秀人才培养基金;在国内外期刊发表多篇研究论文,其中以第一作者发表SCI论文6篇。

Diagnosis and treatment in Graves’ ophthalmopathy

Lu Xiaowei, Zhou Hong   

  1. Department of Endocrinology, the Second Hospital of Hebei Medical University, Shijiazhuang 050000, China
  • Received:2015-11-09 Online:2016-03-05 Published:2016-04-18
  • Contact: Zhou Hong, Email: zhoubs2013@163.com

摘要: Graves眼病(GO)是Graves病最常见的一种甲状腺腺外表现,其发病机制涉及遗传、环境和自身免疫紊乱等多种因素,临床表现复杂多样,只有对GO的活动性和严重程度做出准确评估,才能选择恰当的治疗方案。活动期中、重度GO最有效的治疗方法是糖皮质激素和眶部放射,近年来也发展了一些新的治疗方法,疗效有待于进一步证实。

关键词: 甲状腺功能亢进症, 诊断, 糖皮质激素类, 放射疗法, 眼外科手术

Abstract: Graves ophthalmopathy (GO) is the most common manifestation outside thyroid. The pathogenesis of GO mainly involves in genetic, environmental elements and autoimmune disorder. The clinical features of GO are complicated and various. Only accurately evaluating its activity and severity, effective treatments are chosen. Currently, glucocorticoid treatment and orbital radiotherapy are generally indicated for moderate-to-severe GO. A few of new therapies are under investigation and hold promise for the future.

Key words: hyperthyroidism, diagnosis, glucocorticoids, radiotherapy, ophthalmologic surgical procedure

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