Correct diagnosis and standardized treatment of Graves' hyperthyroidism

doi:10.3969/j.issn.1004-583X.2016.03.001

Abstract

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

CLC Number:

R581.1

Feng Jue. Correct diagnosis and standardized treatment of Graves' hyperthyroidism[J]. Clinical Focus, 2016, 31(3): 233-236.

Add to citation manager EndNote|Ris|BibTeX

URL: https://huicui.hebmu.edu.cn/EN/10.3969/j.issn.1004-583X.2016.03.001

https://huicui.hebmu.edu.cn/EN/Y2016/V31/I3/233

References

[1] Meller J, Becker W. The continuing impportance of thyroid scintigraphy in the era of high-resolution ultrasound[J]. Eur J Nucl Med Mol Imaging,2002,29(Suppl 2):S425-438.
[2] Miftari R,Feiza F, Bicai X. et al. An experimental comparison of two different technetium sorce activities which can imitate thyroid scintigraphy in case of thyroid toxic nodule[J].Acta Inform Med, 2014,22(2):94-97.
[3] 郭满涛,李亚明,尹雅芙. 甲状腺显像评估甲状腺体积的方法及影响因素[J]. 中国医学影像技术杂志, 2011,27(6):1295-1298.
[4] Bartalena L. Diagnosis and management of Graves disease. a global overview[J]. Nat Rev Endocrinol,2013,9(12):724-734.
[5] Sato H, Minagawa M, Sasaki N,et al. Comparison of methimazole and Propylthiouracil in the management of children and adolescents with Graves diseaseefficacy and adverse reactions during initial treatment and long-term outcome[J].J Pediatr Endocrinol Metab,2011,24(5-6):257-263.
[6] Lau EY, So SY, Chan E,et al.Methimazole-induced antineutrophil cytoplasmic antibody-associated diffuse alveolar haemorrhage in a Chinese woman with Graves' disease[J]. Hong Kong Med J, 2009, 15(3):209-212.
[7] Chen LQ, Zhang XL, Wu HY,et al. Relationship between methimazole and antineutrophil cytoplasmic antibody-positive vasculitis[J].Zhonghua Er Ke Za Zhi, 2008, 46(6):446-449.
[8] 赵明辉.抗中性粒细胞胞胞浆抗体相关小血管炎研究进展[L]. 中国实用内科杂志,2012,32(9):680-683.
[9] 黄坚,高莹,赵明辉. 等.丙基硫氧嘧啶和甲巯咪唑与抗中性粒细胞胞浆抗体相关性血管炎[J]. 中国医院药学杂志, 2008,28(15):1298-1301.
[10] Mour-Neto A, Mosci C, Santos AO,et al. Predictive factors of failure in a fixed 15 mCi ¹³¹I-iodide therapy for Graves' disease[J].Clin Nucl Med,2012, 37(6):550-554.
[11] 冯尚勇,张真稳,闫彩凤,等. 568例格雷夫斯病行¹³¹碘治疗1年随访研究[J]. 临床荟萃, 2014,29(5):549-551.
[12] 刘敏.巢湖地区¹³¹-I和ATD治疗Graves甲亢的疗效分析[J]. 皖南医学院学报,2015,34(4):347-349.
[13] 林亚清.甲状腺功能亢进症外科治疗450例[J]. 福建医药杂志,2012,34(01):173-174.
[14] 王棉,张力辉,苏胜偶. 2014内分泌代谢疾病临床进展[J]. 临床荟萃,2015,30(2):150-156.
[15] Duntas LH. Selenium and the thyroid:a close-knit connection[J]. J Clin Endocrinol Metab,2010,95(12):5180-5188.
[16] Guo K, Gao R, Yu Y,et al. Quantitative mRNA expression analysis of selected genes in patients with early-stage hypothyroidism induced by treatment with iodine-¹³¹[J]. Mol Med Rep,2015,129(3):4514-4521.
[17] Duke WS, White JR, Waller JL,et al.Six-year experience with endoscopic thyroidectomy: outcomes and safety profile[J].Ann Otol Rhinol Laryngol, 2015,124(11):915-920.