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妊娠与甲状腺功能的相互影响是妇产科内分泌学中常见的问题。合并有甲状腺疾患的孕妇在诊断及处理上均有其特殊性,因此研究产科内分泌问题必须注意甲状腺的生理及病理在妊娠期的特殊地位。妊娠期甲状腺形态上的改变在怀孕初三个月即可在望诊和触诊时见到甲状腺肿大直至妊娠结束,在低碘地区更为常见。大量尸检材料证实孕妇甲状腺实际大小远远超过正常未孕妇女、组织病理学检查可见:滤泡的大小、胶质的多少和滤泡上皮的深度等均较非孕妇明显增加。孕期甲
The interaction between pregnancy and thyroid function is a common problem in endocrinology of obstetrics and gynecology. Pregnant women with thyroid disorders have their own particularities in the diagnosis and treatment, so the study of obstetric endocrine problems must pay attention to the special status of thyroid physiology and pathology in pregnancy. Thyroid morphology during pregnancy changes in the first trimester of pregnancy can be seen at the time of palpation and palpation goiter until the end of pregnancy, in areas with low iodine more common. A large number of autopsy materials confirmed that the actual size of pregnant women thyroid gland is much larger than the normal non-pregnant women, histopathological examination shows: the size of the follicles, the number of glial and follicular epithelial depth were significantly increased compared with non-pregnant women. A during pregnancy