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目的:探讨产后甲状腺炎的诊治措施,提高认识,及时干预。方法:回顾性分析收治的50例产后甲状腺炎的临床资料及治疗预后。结果:随诊1-2年,50例患者中,甲状腺功能正常者45例,2例患者再次妊娠,分娩后甲亢复发,3例成为永久性甲减。45例甲状腺肿大者,35例甲状腺肿消退,7例轻度肿大,2例中度肿大,1例结节肿,结节消失。结论:甲状腺自身抗体阳性尤其高抗体滴度是PPT高危因素,是预测PPT的重要指标。妊娠期过量碘摄入存在有害影响,应予足够重视。
Objective: To investigate the diagnosis and treatment of postpartum thyroiditis, raise awareness and timely intervention. Methods: Retrospective analysis of 50 cases of postpartum thyroiditis clinical data and treatment prognosis. Results: Followed up for 1-2 years, among the 50 patients, 45 cases were with normal thyroid function, 2 cases were re-pregnant, hyperthyroidism recurred after delivery and 3 cases were permanent hypothyroidism. 45 cases of goiter, 35 cases of goiter subsided, 7 cases of mild enlargement, 2 cases of moderate enlargement, 1 case of nodular swelling, nodules disappear. CONCLUSION: Thyroid autoantibodies, especially high antibody titers, are risk factors for PPT and are important predictors of PPT. Excessive iodine intake during pregnancy harmful effects should be given enough attention.