71例桥本氏甲状腺炎患者血清的FT3、FT4、TSH、TG-Ab、TPO-Ab指标变化?

目的：：探讨桥本氏甲状腺炎(Hashimoto's thyroiditis,HT)患者血清中甲状腺素(free thiiodothyronine,FT3)、(free thyroxin, FT4)、促甲状腺激素(thyroid stimulating hormone,TSH)、抗甲状腺球蛋白抗体(anti-thyroglobulin antibodyo,TG-Ab)、抗甲状腺微粒体抗体(anti-thyvoid microsome antibody,TPO-Ab)5种指标的变化。方法：选取在本院门诊及住院行甲状腺细针穿刺细胞学诊断为HT的患者71例,其中男性3例、女性68例,检测血清中FT3、FT4、TSH、TG-Ab、TPO-Ab含量。结果：FT3>4.4 pg/mL 12例(16.90%),FT4>1.70 ng/dL 11例(15.49%),TSH>4.2μIU/mL 33例(46.48%),TSH <0.27μIU/mL 7例(9.86%),TG -Ab >115 IU/mL 58例(81.6%),TPO-Ab>34 IU/mL 61例(85.91%),TG-Ab、TPO-Ab均在正常范围者4例(5.63%),TG-Ab、TPO-Ab均高于正常范围者47例(66.20%)。结论：了解桥本氏甲状腺炎患者血清的FT3、FT4、TSH、TG-Ab、TPO-Ab指标变化,对于诊断和鉴别诊断桥本氏甲状腺炎有重要意义。