방사성(放射性) 동위원소옥소(同位元素沃素)($^{131}I$)에 의(依)한 갑상선질환(甲狀腺疾患)의 임상적(臨床的) 연구(硏究) - 제 5 보 (第 五 報) -

Clinical Investigation and Treatment of Thyroid Diseases with Radioactive Iodine($^{131}I$)

  • 이문호 (서울대학교 의과대학 내과학교실) ;
  • 고창순 (서울대학교 의과대학 내과학교실) ;
  • 노흥규 (서울대학교 의과대학 내과학교실) ;
  • 이정상 (서울대학교 의과대학 내과학교실) ;
  • 구인서 (서울대학교 의과대학 내과학교실) ;
  • 서환조 (서울대학교 의과대학 내과학교실) ;
  • 이경자 (서울대학교 의과대학 내과학교실) ;
  • 이홍규 (서울대학교 의과대학 내과학교실)
  • Lee, Mun-Ho (Dept. Int. Med., College of Medicine, Seoul National University) ;
  • Koh, Chang-Soon (Dept. Int. Med., College of Medicine, Seoul National University) ;
  • Ro, Heung-Kyu (Dept. Int. Med., College of Medicine, Seoul National University) ;
  • Lee, Chung-Sang (Dept. Int. Med., College of Medicine, Seoul National University) ;
  • Koo, In-Seu (Dept. Int. Med., College of Medicine, Seoul National University) ;
  • Suh, Hwan-Jo (Dept. Int. Med., College of Medicine, Seoul National University) ;
  • Lee, Kyung-Ja (Dept. Int. Med., College of Medicine, Seoul National University) ;
  • Lee, Hong-Kyu (Dept. Int. Med., College of Medicine, Seoul National University)
  • 발행 : 1970.10.25

초록

A summary of the clinical data of the $^{131}I$-thyroid function tests and the therapeutic results of $^{131}I$ among the 2,658 patients of various thyroid diseases treated over the past 10 years from May 1960 to Oct. 1969 at the Radioisotope Clinic and Laboratory, SNUH were presented and dscussed. 1. The patients examined consisted of: 929 cases (34.9%) of diffuse toxic goiter, 762 cases (28.7%) of diffuse nontoxic goiter, 699 cases (26.3%) of nodular nontoxic goiter, 58 cases (2.2%) of nodular toxic goiter and 210. cases (7.9%) of hypothyroidism. 2. There were 300 (11.4%) male and 2358 (88.6%) female, showing a ratio of 1:8. 3. The majority of patients (79.1%) were in the 3rd-5th decades of their lives. 4. The normal ranges, diagonstic values of $^{131}I$ uptake test, 48 hrs, serum activity, BMR and main subjective symptoms of various thyroid diseases were discussed. 5. In the 579 patients among 867 cases with hyperthyroidism treated with $^{131}I$, 47.8% were confirmed to be cured completely after single therapeutic doses. 6. The complications of $^{131}I$ therapy were discussed and myxedema had developed in 6.75% of our patients. 7. The results of $^{131}I$ thyroid function tests were analysed among the 160 cases of thyroid diseases which were confirmed the diagnosis with histopathological measures.

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