过氧化物酶抗体诊断自身免疫甲状腺疾病临床价值的探讨

目的 通过比较自身免疫甲状腺疾病(ATD)患者血清中过氧化物酶抗体(TPO-Ab)和甲状腺微粒体抗体(TMAb)水平，探讨测定TPO-Ab的临床价值。方法 采用放射免疫法同步测定200例ATD、50例非ATD、30例健康对照血清中甲状腺过氧化物酶抗体和甲状腺微粒体抗体的浓度。结果 ①ATD患者血清中TPO-Ab浓度显著升高(P＜0.01)。②桥本甲状腺炎患者甲功的变化与体内TPO-Ab浓度有关，可在一定程度上提示ATD的预后。③TPO-Ab浓度的变化与TMAb变化一致(r=0.83,P＜0.01)，但用TPO-Ab作为诊断桥本甲状腺炎的指标较TMAb更具敏感性和特异性(P＜0.01)。结论 测定TPOAb是诊断自身免疫甲状腺疾病敏感、特异的指标。

Clinical use of mearing antithyroid peroxidase antibody in autoimmune thyroid disease

Objective To investigate the clinical application of TPO-Ab by comparing the relationship between TPO-Ab and TMAb in ATD. Methods In this study with the method of RIA, we measured the serum level of TPO-Ab and TMAb in 200 ATD patients, 50 patients with non-ATD and 30 normal controls, and analyzed the relationship of TPO-Ab and TMAb, compared the differ ence between TPO-Ab and TMAb for diagnosis ATD. Results TPO-Ab titer increased in ATD es pecially in Hashimoto's thyroiditis(P＜0.01), at the same time it could influence the state of the throid function. A significant positive correlation was found between TPO-Ab and TMAb(γ= 0.83,P＜0.01 ), but TPO-Ab appeared to be more sensitive and specific for diagnosising Hashimoto's thy roiditis than TMAb. Conclusion TPO-Ab is a sensitive and specific stantard for diagnosising ATD.