Japanese |
Title | 術後甲状腺シンチグラフイー |
Subtitle | 原著 |
Authors | 原正雄*, 栢森亮*, 北畠隆*,** |
Authors(kana) | |
Organization | *新潟大学医学部 放射線医学教室, **指導:教授 |
Journal | 核医学 |
Volume | 10 |
Number | 4 |
Page | 405-412 |
Year/Month | 1973/8 |
Article | 原著 |
Publisher | 日本核医学会 |
Abstract | 「はじめに」近年, 核医学の進歩に伴い, 甲状腺シンチグラムの記載は多いが, 治療後とくに手術後の甲状腺シンチグラムの報告は比較的少ない. しかし, 術後シンチグラフィーを行なうことはけっしてまれではない. そこで私たちの行なった術後シンチグラムを検討した結果を報告し, その臨床的意義について述べる. 「対象および方法」対象は甲状腺手術後58例, バセドウ氏病術後23例, 単純性結節性甲状腺腫(大部分は良性腺腫, 一部に慢性甲状腺炎を含む)術後26例, 計107例である. 疾患と手術々式はTable1に示した. 手術からシンチグラフィーまでの期間は1週間から29年であった. 放射性医薬品は全例にNa131Iを用い, その50〜100μCi投与24時間後にシンチグラフィーを行なった. シンチグラム装置は5インチ・シンチスキャナーを用い, 一部にシンチ・カメラを併用した. 「結果」「1. バセドウ氏病」バセドウ氏病23例についてシンチグラフィーの目的と術後期間をみると下記のごとくである. |
Practice | 臨床医学:一般 |
Keywords | |
English |
Title | The thyroid scintigraphy following thyroidectomy |
Subtitle | Original |
Authors | Masao HARA*, Ryo KAYAMORI*, Takashi KITABATAKE*,** |
Authors(kana) | |
Organization | *The Department of Radiology, Niigata University School of Medictine, **Chief:Prof. |
Journal | The Japanese Journal of nuclear medicine |
Volume | 10 |
Number | 4 |
Page | 405-412 |
Year/Month | 1973/8 |
Article | Original article |
Publisher | THE JAPANESE SOCIETY OF NUCLEAR MEDICINE |
Abstract | [Summary] One hundred and seven post-operative thyroid scintigrams were reviewed. Operations were done for hyperthyroidism, thyroid cancer or simple nodular goiter. Surgical technics were as follows: in 27 patients a total thyroidectomy was done, in 23 patients a subtotal thyroidectomy, in 28 patients a hemithyroidectomy and in 29 cases a partial thyroidectomy were carried out. Post-operative scintigram was useful as an aid to differentiate the compensatory hyperplasia and occurrence of neoplasma, and to estimate thyroid weight when radioiodine treatment was done for recurrent hyperthyroidism. Reviewing the scintigrams of 55 total and hemethyroidectomized patients showed that 19 of them had some accumulation of radioiodine in the operated site. Above findings were seen inboth malignant and non-malignant lesions, namely in 17 of 48 patients with thyroid cancer and in 2 of 7 with non-toxic simple goiter, and above findings were detected more frequently after total thyroidectomy had been done than when a hemithyroidecyomy, namely in 12 of 27 in the former, and in 7 of 28 in the latter. Two cases showed metastasis of thyroid cancer to the sternum or neck lymph nodes in a scintigram after total thyroidectomy, which had not been detected in a preoperative examination. |
Practice | Clinical medicine |
Keywords | |