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TRAb在自身免疫性甲状腺疾病中的临床价值
引用本文:毛朝明,蒋茜.TRAb在自身免疫性甲状腺疾病中的临床价值[J].中国现代医学杂志,2003,13(6):34-36.
作者姓名:毛朝明  蒋茜
作者单位:江苏大学附属医院核医学科,212001
摘    要:目的:研究促甲状腺激素受体抗体(TRAb)与自身免疫性甲状腺疾病(AITD)的关系。方法:采用放射受体法(RRA)测定185例AITD病人中TRAb的水平,与甲状腺激素进行相关性分析。结果:与正常对照组相比,TRAb水平在Graves病(GD)中存在显著性差异(P<0.01),且与FT3,FT4呈高度正相关,与sTSH呈高度负相关;在特发性粘液水肿中存在显著性差异(P<0.01),且TRAb与FT4呈高度负相关,与sTSH呈高度正相关。在桥本氏甲状腺炎中无显著性差异(P>0.05),且TRAb与TGAb,TMAb不相关。结论:TRAb对AITD的诊断、鉴别诊断及疗效观察具有重要意义。

关 键 词:TRAb  自身免疫性甲状腺疾病  临床价值  促甲状腺激素受体抗体  放射受体法  测定  诊断  治疗
修稿时间:2002年8月21日

THE CLINICAL VALUE OF TRAb IN AUTOIMMUNE THYROID DISEASE
Mao Chaoming,Jiang Qian.THE CLINICAL VALUE OF TRAb IN AUTOIMMUNE THYROID DISEASE[J].China Journal of Modern Medicine,2003,13(6):34-36.
Authors:Mao Chaoming  Jiang Qian
Institution:Mao Chaoming,Jiang Qian Department of Nuclear Medicine,The Affiliated Hospital of Jiangsu University
Abstract:Objective:To study the relationship between serum TRAb and automumme thyroid disease(AITD).Methods:The levels of serum TRAb were measured in 185 patients of AITD by radioreceptorassay (RRA) and its correlation to thyroid hormone. Results: The levels of TRAb in Graves disease(GD) were significant higher than those of control group(P<0.01), which highly positive correlation to FT3,FT4 mid negative correlation to sTSH; so did the levels of TRAb in idiopathic myxedema but positive correlation to sTSH; the levels of TRAb in Hashimoto's thyroiditis had no significant difference as compared with that of control group (P>0.05), which highly no-correlated to TGAb, TMAb.Conclusion:TRAb plays an important role in diagnosis and treatment observation of AITD.
Keywords:Thyrotropin Receptor Antibody  Autoimmune Thyroid Disease  
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