CAJ | 학술논문

【目的】测定手术治疗前Graves病甲状腺功能亢进（甲亢）患者血清甲状腺过氧化物酶抗体（ T POAb）和甲状腺球蛋白抗体（ TGA b）水平，探讨其在手术治疗后与甲状腺功能减退（甲减）发生的关系。【方法】根据手术治疗前TPOA b、TGA b的检测结果，将198例患者分成3组：双阴组12例，单阳组32例，双阳组154例，比较各组间甲减的发生率。再将双阳组的154例患者，按TPOA b、TGA b滴度水平的高低分成3组：A组79例，B组65例，C组10例，进一步探讨手术治疗前TPOA b、TGA b滴度水平的高低与甲减的关系。【结果】手术治疗后甲减发生率差异有统计学意义（ P＜0．005）。双阳组的154例患者，其TPOAb、TGA b滴度水平高低与甲减发生率相关（ P＜0．005）。【结论】TGAb、TPOA b滴度水平的检测对于甲亢手术治疗后甲减的预测有指导作用。
【목적】측정수술치료전Graves병갑상선공능항진（갑항）환자혈청갑상선과양화물매항체（ T POAb）화갑상선구단백항체（ TGA b）수평，탐토기재수술치료후여갑상선공능감퇴（갑감）발생적관계。【방법】근거수술치료전TPOA b、TGA b적검측결과，장198례환자분성3조：쌍음조12례，단양조32례，쌍양조154례，비교각조간갑감적발생솔。재장쌍양조적154례환자，안TPOA b、TGA b적도수평적고저분성3조：A조79례，B조65례，C조10례，진일보탐토수술치료전TPOA b、TGA b적도수평적고저여갑감적관계。【결과】수술치료후갑감발생솔차이유통계학의의（ P＜0．005）。쌍양조적154례환자，기TPOAb、TGA b적도수평고저여갑감발생솔상관（ P＜0．005）。【결론】TGAb、TPOA b적도수평적검측대우갑항수술치료후갑감적예측유지도작용。
[Objective]To measure serum levels of thyroid peroxidase antibody (TPOAb ) and thyroglobulin antibody (TGAb) in patients with Graves hyperthyroidism before surgery ,and to explore their correlation with the incidence of hy-pothyroidism after surgery .[Methods]According to the results of TPOAb and TGAb ,198 patients were divided into both negative TPOAb and TGAb group( n=12) ,positive TPOAb or TGAb group( n = 32) and both positive TPOAb and TGAb( n=154) .According to the titer levels of TPOAb and TGAb ,154 patients with both positive TPOAb and TGAb were also divided into group A ( n=79) ,group B( n=65) and group C( n=10) .The correlation of the titer levels of TPOAb and TGAb with hypothyroidism before the operation was further discussed .[Results] There was significant difference in the incidence of hypothyroidism after the operation among three groups ( P<0 .005) .Among 154 patients of both positive TPOAb and TGAb group ,the titer levels of TPOAb and TGAb were related with the incidence of hyperthy-roidism( P<0 .005) .[Conclusion] The detection of serum levels of TPOAb and TGAb is of significance for predicting the incidence of hypothyroidism after surgery .