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114例亚临床甲状腺机能减退症病因分析及对策
引用本文:汤建林,赵立群,李玉莹,汪慧如,杨丽秋. 114例亚临床甲状腺机能减退症病因分析及对策[J]. 医学理论与实践, 2004, 17(3): 266-267
作者姓名:汤建林  赵立群  李玉莹  汪慧如  杨丽秋
作者单位:云南大理州人民医院核医学科,671000
摘    要:目的 :分析亚临床甲状腺机能减退症 (甲减 )的病因及处理对策。方法 :经检测血清TSH、甲状腺过氧化物酶抗体(TPOAb)、FT4及FT3 ,从我院门诊及住院患者中筛查出 114例亚临床甲减 ,并加以分析。结果 :35 1%的亚临床甲减为自身免疫性甲状腺疾病 (AITD)所致 ,2 1 9%为甲亢或甲减治疗后及甲状腺手术后引起 ,4 3 0 %不明原因。结论 :亚临床甲减与自身免疫有关 ,但大多原因不明。对不同原因所致的亚临床甲减应采取不同对策。

关 键 词:亚临床甲状腺机能减退症  甲状腺过氧化物酶抗体(ATPOAb)
修稿时间:2003-11-06

Analysis of Cause and Treatment of 114 Cases with Subclinical Hypothyroidism
TANG Jianlin,ZHAO Liqun,LI Yuying et al. Analysis of Cause and Treatment of 114 Cases with Subclinical Hypothyroidism[J]. The Journal of Medical Theory and Practice, 2004, 17(3): 266-267
Authors:TANG Jianlin  ZHAO Liqun  LI Yuying et al
Affiliation:TANG Jianlin,ZHAO Liqun,LI Yuying et al. Department of Nuclear Medicine,The People's Hospital of Dali Autonomouse Prefecture.Dali,Yunnan Province 671000
Abstract:Objective:To analyse the cause and treatment of case with subclinical hypothyroidism.Methods:114 cases with subclinical hypothyroidism were established by measuring serum TSH,thyroid perroxidases antibody(TPOAb),FT 3 and FT 4 of patients in our hospital,who were got by doubt to have the thyroid disease.Results:35.1%cases were with autoimmune thyroid diseases (AITD),21.9% were caused after hyperparathy roidism or hypothyroidism treated or thyroid gland operated ,reasons of 43.0% were unknown.Conclusion:Cases of subclinical hypothyroidism are related to autoimmunity,but almost of those are unknown .So that the treatment of subclinical hypothyroidism should be treated according to the different cause of diseases.
Keywords:Subclinical Hypothyroidism  Thyroid peroxidases antibody(TPOAb)
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