中国实用妇科与产科杂志 ›› 2013, Vol. 9 ›› Issue (6): 419-423.

• 专题笔谈 • 上一篇    下一篇

妊娠合并甲状腺功能减退症的诊治

邓东锐周媛   

  1. 作者单位:华中科技大学同济医学院附属同济医院妇产科,湖北 武汉430030
  • 出版日期:2013-06-02 发布日期:2013-05-27

  • Online:2013-06-02 Published:2013-05-27

摘要:

血清促甲状腺激素是妊娠合并甲状腺功能减退症(甲减)的首选诊断指标。妊娠合并临床甲减的治疗首选左旋甲状腺素。对甲状腺过氧化物酶抗体阳性的亚临床甲减孕妇应进行治疗。对单纯性低甲状腺素血症孕妇不推荐常规治疗。

关键词: 妊娠, 甲状腺功能减退症

Abstract:

Abstract:Serum thyrotropin is the preferred diagnostic index for hypothyroidism during pregnancy.L-T4 is the first choice of treatment for hypothyroidism during pregnancy.Women who are positive for TPOAb and have subclinical hypothyroidism should be treated with L-T4.It is recommended that the isolated hypothyroxinemia should not be treated in pregnancy.

Key words: pregnancy, hypothyroidism

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