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本文分析了67例自身免疫性甲状腺炎。本病起病缓慢、隐匿,常伴有甲状腺肿大或呈结节状。临床主要表现有三种类型:(1) 甲状腺结节;(2) 甲状腺机能亢进;(3) 甲状腺机能减退。52例测抗甲状腺球蛋白抗体(TG),47例≥1:25600,4例1:100～6400,1例阴性。TG低滴度和阴性及误诊为甲状腺瘤者均经病理证实为本病。作者对本病的诊断、临床表现和治疗进行了讨论,认为本病确诊后应给予甲状腺激素代替治疗,以防产生甲状腺机能减退。
This article analyzes 67 cases of autoimmune thyroiditis. The disease onset is slow, hidden, often accompanied by goiter or nodular. There are three main clinical manifestations: (1) thyroid nodules; (2) hyperthyroidism; (3) hypothyroidism. 52 cases measured anti-thyroglobulin antibody (TG), 47 cases ≥ 1: 25600, 4 cases 1: 100 ~ 6400, 1 case negative. TG low titers and negative and misdiagnosed as thyroid tumors were confirmed by pathology-based disease. The author of the diagnosis of the disease, clinical presentation and treatment were discussed, that the diagnosis of the disease should be given thyroid hormone replacement therapy to prevent hypothyroidism.