自身免疫性甲状腺疾病是妊娠期妇女最常见的疾病之一。研究发现，甲状腺自身抗体与流产、早产、不孕、胎盘早剥、围产儿死亡、产后甲状腺炎等相关，是一个重要的检测指标。孕前及孕期对甲状腺功能及自身抗体的筛查能早期检测相关疾病，以便早期干预，减少不良妊娠结局的发生。文章就妊娠期自身免疫性甲状腺疾病的筛查及治疗的最新进展做一阐述，希望对临床研究有指导作用。

Abstract: Autoimmune thyroid disease is one of the commonest disease in pregnancy women．Several researches have found out that thyroid antibody positivity is related to miscarriage, preterm birth, infertility, placental abruption, perinatal mortality and postpartum thyroiditis．The early detection of the thyroid function and antibodies before and during pregancy is important for clinical intervention.This article summarizes the latest progress in screening and treatment of pregnancy-associated autoimmune thyroid disease, hoping to offer guidance for the clinician.