Management of recurrent hyperthyroidism in patients with Graves’ disease treated by subtotal thyroidectomy

摘要: If the aim of surgical treatment for Graves' disease is not permanent hypothyroidism, it difficult to avoid recurrent hyperthyroidism completely. The management hyperthyroidism, however, neither easy nor obvious. Improvement in sensitivity TSH assay has allowed diagnosis latent hyperthyroidism. Little known about clinical course We studied and outcome patients with treated by subtotal thyroidectomy. Between January 1988 August 1991, 1115 were surgery. Postoperative thyroid function was evaluated free T3, T4 measurements. One hundred seventy-five suppressed secretion at least 6 months categorized as having Eighty (45.1%) also had elevated hormone levels, (group 1). remaining 95 (54.9%) normal levels values 2). In group 1, 58 antithyroid drug (ATD), 12 iodine 10 radioiodine (RI). Remission obtained 22 (11 ATD, 1 Ri). On other hand, 2 followed up without medication, spontaneous remission observed 21 theln (22.1%). It induce overt ATD or iodine. contrast could be some postoperative