摘要
目的 探讨甲状腺机能亢进 (甲亢 )患者术后血清TSH受体抗体 (TRAb)值变化与甲状腺功能的关系。方法 通过对 5 2例甲亢术后患者观察 ,分析TRAb值在甲亢复发中的作用。结果 5 2例甲亢术后患者中有 16例复发 ,TRAb值皆高于 15 % ,最高值可达 87.2 % ,4例TRAb值在 30 %以下的患者临床症状不明显或较轻微 ,12例TRAb值在30 %以上的患者临床症状比较明显 ,通过治疗后绝大部分呈不同程度下降趋势。结论 TRAb的增高可以预测甲亢术后复发 ,早期发现复发积极治疗效果比较满意。
Objective To discuss the relationship between the changes of serum TSH receptor antibody (TRAb) level and the function of thyroid in Hyperthyroidism after thyroidectomy. Methods We investigated 52 patients who gained thyroidectomy, and analysed the effect of the TRAb in the recurrence of hyperthyroidism. Results 16 patients recurred in 52 patients. The level of TRAb who are recurred is higher than 15%, and the maximum is 87.2%. The clinical symptom is different in the postoperative patients: the symptom is unconspicuous , or lighter in which the serum level of TRAb is lower than 30%, but in 12 patients whose level is higher than 30%, the symptom is more distinct. With the treatment, the TRAb level of the most patients whose serum level is higher than normal reduced more or less. Conclusion According to the postoperative level of TRAb, we can anticipate that there will be a recurrence, or not. With early detecting of the recurrence and early effective treatments, we can gain notable curative effect.
出处
《中国实验诊断学》
2002年第3期165-166,共2页
Chinese Journal of Laboratory Diagnosis
