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甲亢的治疗方法可分为两类:(1)非毁坏性的,主要为硫脲嘧啶、他巴唑类抗甲状腺药物,其作用为阻碍甲状腺激素的合成;(2)毁坏性的,甲状腺次全切除术或放射性碘治疗。第一类方法不致造成不可逆的甲状腺损害,但疗程长,复发率高。第二类方法疗效较高,复发率低,但造成甲状腺损害,甲状腺机能减退症的发生率高。对于病情轻,甲状腺肿大不显著的病人,宜用抗甲状腺药物治疗,促使病情缓解。在有特效治疗以前的早年文献中,甲亢病人的自然病程有三种不同的情况:(1)25～30％的病人自发缓解,多为突眼轻,甲状腺肿较小的病人,(2)35～40％病程波动性进展,
The treatment of hyperthyroidism can be divided into two categories: (1) non-destructive, mainly thiouracil, antitucept thyroid drugs, its role as a hinder thyroid hormone synthesis; (2) destructive, thyroid times Total resection or radioactive iodine therapy. The first method does not cause irreversible thyroid damage, but long course, high recurrence rate. The second method has high efficacy and low recurrence rate, but causes high thyroid damage and hypothyroidism. For patients with mild, goiter was not significant, anti-thyroid drugs should be used to promote the remission. There are three different natural history of hyperthyroidism in patients with hyperthyroidism: (1) 25 to 30% of patients spontaneously remission, mostly patients with a small strabismus and small goiter, (2) 35 ~ 40% course of disease progression,