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目的对Graves病合并糖尿病应用放射性碘131治疗后临床疗效分析。方法对本院2000～2010年收治的甲状腺机能亢进症(Graves病)合并糖尿病应用碘131治疗。结果 152例患者中,Graves病治愈113例(74.34%),其中糖尿病治疗显效76例、好转35例、无效2例;Graves病好转32例(21.05%),其中糖尿病治疗显效16例、好转12例、无效4例;Graves病无效0例;甲减7例(4.61%),其中糖尿病治疗显效4例、好转3例、无效0例。Graves病治愈率为78.95%,糖尿病治疗有效率为96.05%。结论碘131治疗为Graves病合并糖尿病的首选治疗方法。
Objective To evaluate the clinical effect of radioactive iodine 131 treatment on Graves’ disease complicated with diabetes mellitus. Methods In our hospital from 2000 to 2010 admitted to hyperthyroidism (Graves disease) with iodine 131 treatment of diabetes mellitus. Results Among 152 patients, Graves ’disease was cured in 113 cases (74.34%), including 76 cases of improvement of diabetes, 35 cases of improvement and 2 cases of inefficiency; 32 cases of improvement of Graves’ disease (21.05%), of which 16 cases were cured of diabetes and 12 cases were improved 4 cases were ineffective; 0 cases were Graves’ disease ineffective; 7 cases were hypothyroidism (4.61%), of which 4 cases were cured by diabetes, 3 cases were improved, 0 cases were ineffective. Graves disease cure rate was 78.95%, diabetes treatment efficiency was 96.05%. Conclusion Iodine 131 is the first choice for the treatment of Graves’ disease with diabetes mellitus.