现代肿瘤医学
現代腫瘤醫學
현대종류의학
Journal of Modern Oncology
2015年
24期
3574-3576
,共3页
32 P 胶体%甲状腺囊腺瘤%激素
32 P 膠體%甲狀腺囊腺瘤%激素
32 P 효체%갑상선낭선류%격소
32 P colloid%thyroid adenoma%dexamethasone
目的:探讨32 P 胶体联合地塞米松治疗甲状腺囊腺瘤的疗效。方法:收集自2008年1月至2012年5月于本院确诊的甲状腺囊腺瘤患者112例,全部患者随机分为两组:32 P 胶体联合地塞米松治疗组56例,32 P胶体治疗组56例。患者治疗前后均查游离三碘甲状腺原氨酸(FT3)、游离甲状腺素(FT4)、血清促甲状腺素(TSH)、甲状腺球蛋白(TG)、甲状腺微粒体(TM)及血常规。用超声及甲状腺显像测量囊腺瘤大小。用药1个疗程之后,经医学影像检测未发现瘤体,则判定治愈;经医学影像检测发现囊腺瘤直径缩小超过1/2,则判定有效;经医学影像检测发现囊腺瘤缩小不到治疗前1/2或无变化,则判定无效。结果:两组的治疗疗效比较有显著差异(P <0.05)。两组治疗前后甲状腺激素及血常规检查未发现异常变化,穿刺液未检出癌细胞。治愈病例随访2年未复发。结论:32 P 胶体联合地塞米松治疗甲状腺囊腺瘤安全且无创,疗效确切,治愈率高,可避免手术损伤,值得临床推广应用。
目的:探討32 P 膠體聯閤地塞米鬆治療甲狀腺囊腺瘤的療效。方法:收集自2008年1月至2012年5月于本院確診的甲狀腺囊腺瘤患者112例,全部患者隨機分為兩組:32 P 膠體聯閤地塞米鬆治療組56例,32 P膠體治療組56例。患者治療前後均查遊離三碘甲狀腺原氨痠(FT3)、遊離甲狀腺素(FT4)、血清促甲狀腺素(TSH)、甲狀腺毬蛋白(TG)、甲狀腺微粒體(TM)及血常規。用超聲及甲狀腺顯像測量囊腺瘤大小。用藥1箇療程之後,經醫學影像檢測未髮現瘤體,則判定治愈;經醫學影像檢測髮現囊腺瘤直徑縮小超過1/2,則判定有效;經醫學影像檢測髮現囊腺瘤縮小不到治療前1/2或無變化,則判定無效。結果:兩組的治療療效比較有顯著差異(P <0.05)。兩組治療前後甲狀腺激素及血常規檢查未髮現異常變化,穿刺液未檢齣癌細胞。治愈病例隨訪2年未複髮。結論:32 P 膠體聯閤地塞米鬆治療甲狀腺囊腺瘤安全且無創,療效確切,治愈率高,可避免手術損傷,值得臨床推廣應用。
목적:탐토32 P 효체연합지새미송치료갑상선낭선류적료효。방법:수집자2008년1월지2012년5월우본원학진적갑상선낭선류환자112례,전부환자수궤분위량조:32 P 효체연합지새미송치료조56례,32 P효체치료조56례。환자치료전후균사유리삼전갑상선원안산(FT3)、유리갑상선소(FT4)、혈청촉갑상선소(TSH)、갑상선구단백(TG)、갑상선미립체(TM)급혈상규。용초성급갑상선현상측량낭선류대소。용약1개료정지후,경의학영상검측미발현류체,칙판정치유;경의학영상검측발현낭선류직경축소초과1/2,칙판정유효;경의학영상검측발현낭선류축소불도치료전1/2혹무변화,칙판정무효。결과:량조적치료료효비교유현저차이(P <0.05)。량조치료전후갑상선격소급혈상규검사미발현이상변화,천자액미검출암세포。치유병례수방2년미복발。결론:32 P 효체연합지새미송치료갑상선낭선류안전차무창,료효학절,치유솔고,가피면수술손상,치득림상추엄응용。
Objective:To evaluate the efficacy of 32 P combined with dexamethasone in treatment of cystic thyroid adenoma.Methods:All 112 patients that confirmed from 2008.1 -2012.5 were divided into treatment group(56 pa-tients)and control group(56 patients)randomly.Control group only used 32 P,while the treatment group adopted 32 P and dexamethasone.FT3,FT4,TSH,thyroglobulin(TG),thyroid microsomal(TM)and routine blood were measured and analyzed before and after treatment.Ultrasound and thyroid imaging were taken out to measure the size of cystic thyroid adenoma after 1 period of treatment.Curative:No tumor was found by imageological examination.Effective:The diameter of tumoer reduced more than 1 /2.Invalid:The diameter of tumoer reduced less than 1 /2 or unchanged.Re-sults:The efficacy showed significant change between 2 group(P <0.05).Yet the level of thyroid hormones and rou-tine blood showed no significantly change after treatment.No cancer cells were detected in puncture fluid.No recur-rence was found after 2 -year follow -up in curative patients.Conclusion:32 P combined with dexamethasone in treat-ment of cystic thyroid adenoma was a safe and recommendable method with creditable efficacy and higher curative rate.