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131I治疗分化型甲状腺癌对机体影响的研究
作者:郝珊瑚 张国旭 张彤  
单位:沈阳军区总医院
关键词:甲状腺癌 碘放射性同位素 副作用 
分类号:
出版年·卷·期(页码):2014·42·第十期(1145-1149)
摘要:

目的:探讨放射性131碘治疗分化型甲状腺癌时,辐射对患者的影响。方法:将69例多次行131碘治疗的分化型甲癌患者(累积剂量18.5-74.0GBq)纳入研究对象,收集其治疗前及治疗后4个月时血细胞情况、肝肾功能指标及唾液腺ECT显像结果,进行统计学分析。结果:①131I治疗后白细胞及血小板数量较治疗前明显降低(P<0.05),但仍在正常范围内。红细胞数量略增高(P>0.05),淋巴细胞数量略有减低(P>0.05); ②131I治疗前后患者肝肾功能指标ALT、AST、BUN、SCREA、ALP无明显变化;③131I治疗后患者双侧腮腺分泌及排泄功能减低(P<0.05),双侧颌下腺分泌及排泄功能略下降 (P>0.05) 。结论:高分化甲状腺癌的131I治疗对各系统不同程度的损伤是存在的,但绝大多数损伤是轻微的,不会带来临床恶性事件。

Objective: To observe the effects of 131I therapy on body for thyroid carcinoma patients. Methods: sixty-nine patients with DTC were inclued. They underwent 131I radiotherapy many times(everyone’s total dose was 18.5-74.0GBq). The result of blood cell, liver, renal and salivary gland scintigraphy examinations were compared before and 4 months after 131I therapy. Results: ①The number of leukocyte and thrombocyte reduced significantly (P<0.05) 4months after 131I therapy but the average were in the normal ranges. The number of erythrocyte were higher(P>0.05). The number of lymphocyte decreased lightly (P>0.05). ②The level of ALT、AST、BUN、SCREA、ALP about liver and renal were no significant difference between before and 4 months after 131I radiotherapy (P>0.05). ③ Both parotid uptake and excretion functions are impaired(P<0.05) and the function of submandibular gland are not effected after several times of therapy(P>0.05). Conclusion: The adverse effects of 131I radiotherapy on thyroid carcinoma patients were exist but the major of adverse effects were slight. There were no serious effects after 131I therapy.

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