CAJ | 학술논문

目的：研究小剂量131 I 全身显像在131 I 治疗甲状腺癌中的应用价值。方法：15例需要在手术后进行131 I 治疗的分化型甲状腺癌病例，在做131 I 治疗前进行小剂量的131 I 全身显像检查，并在131 I 治疗后再次进行全身显像检查，分析两组结果的差异性。结果：小剂量131 I 全身显像时，15例病例中共发现28个病灶，131 I 治疗后进行的全身显像共发现43个病灶，新增病灶20个，减少病灶5个，7例病例病灶无变化。结论：虽然小剂量131 I 全身显像发现甲状腺癌转移灶的敏感性不及治疗剂量131 I 全身显像，但在131 I 治疗分化型甲状腺癌前做小剂量的131 I 全身显像仍然很有价值。
목적：연구소제량131 I 전신현상재131 I 치료갑상선암중적응용개치。방법：15례수요재수술후진행131 I 치료적분화형갑상선암병례，재주131 I 치료전진행소제량적131 I 전신현상검사，병재131 I 치료후재차진행전신현상검사，분석량조결과적차이성。결과：소제량131 I 전신현상시，15례병례중공발현28개병조，131 I 치료후진행적전신현상공발현43개병조，신증병조20개，감소병조5개，7례병례병조무변화。결론：수연소제량131 I 전신현상발현갑상선암전이조적민감성불급치료제량131 I 전신현상，단재131 I 치료분화형갑상선암전주소제량적131 I 전신현상잉연흔유개치。
Objective:To research on the application value of 131 I whole body imaging in small doses in the 131 I treatment of thyroid carcinoma. Methods:131 I whole body imaging in small doses was performed before and after their 131 I treatment to 15 cases of differentiated thyroid carcinoma patients who needed 131 I therapy after surgery. Differences of the results of the two 131 I whole body imaging in small doses were analyzed. Results:When 131 I whole body imaging in small doses were performed,28 lesions were found in the 15 cases;43 lesions,including 20 newly lesions,were found during 131 I whole body imaging after 131 I therapy,while 5 lesions in the first examination disappeared. There was no change in 7 cases. Conclusion:Although the sensitivity of small doses of 131 I whole body imaging to discover thyroid cancer metastases is less than a therapeutic dose of 131 I whole body imaging,it is still valuable to perform a 131 I whole body imaging in small dose before the 131I treatment of differentiated thyroid carcinoma.