患者，女，22岁，甲状腺I度肿大，双侧对称,表面光滑，质地柔软，随吞咽上下活动。甲状腺功能正常。TPOAb、TgAb均阴性。甲状腺彩超：甲状腺内数个低回声结节。伴四肢困乏，气短，纳呆，消瘦。舌苔薄，脉弱无力。不属于该病手术指征的是

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