栓塞甲状腺动脉治疗Graves病的临床分析  

Clinical study on embolization of thyroid arteries in the treatment of Graves disease

作　　者：孙顺吉[1] 范力军[1] 杨立生[1] 刘维民[1] 党润民[1] 马永金[1] 张德一[1] 曲宝忠[1] 

机构地区：[1]解放军第四军医大学吉林军医学院附属医院介入放射科,吉林132013

出　　处：《中国地方病防治》2003年第1期58-59,共2页Chinese Journal of Control of Endemic Diseases

摘　　要：目的探讨难治性Graves病介入栓塞治疗的方法并观察疗效。方法8例难治性Graves病患者,采用Seldinger方法穿刺超选择插管至甲状腺动脉,使用PVA微球栓塞治疗,观察栓塞后临床症状及甲状腺大小的变化。结果随访4个月～2年,临床症状缓解,并停用抗甲状腺药物。甲状腺明显缩小。无严重并发症。结论介入栓塞治疗Graves病是一种安全、有效的新方法,为Graves病的治疗开辟了一种新的途径,但远期疗效尚需进一步观察。Objective To investigate method of interventional embolization in the treatment of refractory Graves disease and its clinical effects.Methods Catheters were inserted into thyroid arteries superselectively with Seldinger's and interventional embolization of these arteries was performed by PVA microspheres in 8 patients with refractory Graves disease.The clinical symptoms and the size of thyroid glands were observed after embolization.Results Followed up by 4 months to 2 yesrs,clinical symptoms was ameliorated,the size of thyroid glands decreased remarkably.No serious complications were found.Conclusion The interventional embolization is a new effective method and has opend a new way for the treatment of Graves disease.But the late result needs further observation.

关 键 词：甲状腺机能亢进症 GRAVES病 介入栓塞治疗法 Seldinger方法 PVA微球栓塞 疗效 临床分析 

分 类 号：R581.1[医药卫生—内分泌]