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目的分析探讨甲状腺Ⅲ度以上肿大的HD患者的内科治疗经验。方法回顾性总结24例甲状腺Ⅲ度以上肿大的HD患者,采用优甲乐加环磷酰胺加强的松加甲氨蝶呤的方案进行内科治疗。结果 24例患者中治疗效果满意,14例明显缩小,4例多结节性肿大者2例基本消失,6例单侧肿大者4例基本消失,2例明显缩小。所有患者均治疗后好转出院。结论甲状腺Ⅲ度以上肿大的HD患者可以采用内科保守治疗而不需要手术,治疗效果满意。
Objective To analyze and discuss the experience of medical treatment in HD patients with enlarged third degree thyroid gland. Methods A retrospective review of 24 patients with HD at or above the third degree of thyroid gland was performed with ethyloxacin plus euthyrox plus cyclophosphamide regimen for medical treatment. Results The treatment effect was satisfactory in 24 patients, 14 cases were significantly reduced, 4 cases of multi-nodular enlargement basically disappeared, 6 cases of unilateral enlargement disappeared in 4 cases, 2 cases significantly reduced. All patients were cured after treatment and discharged. Conclusions HD patients with grade Ⅲ or more of thyroid enlargement can be treated with conservative medical treatment without surgery, and the treatment effect is satisfactory.