不孕症患者甲状腺功能筛查临床分析.docVIP

不孕症患者甲状腺功能筛查的临床分析 　　【摘要】 目的：探讨甲状腺功能减退与不良孕产史的相关性，甲状腺功能检测在临床诊治不孕症中的作用。方法：对190例因卵巢因素不孕的患者行甲状腺功能检测，作为不孕组；并与同期门诊体检女性190例对照，作为体检组。观察比较两组甲状腺情况。结果：不孕组患者包括6种情况，甲状腺功能亢进5例（2.63%）；临床型甲状腺功能亢进4例（2.11%）；亚临床型甲状腺功能亢进1例（0.53%）；甲状腺功能减退11例（5.79%）；临床甲状腺功能减退1例（0.53%）；亚临床甲状腺功能减退10例（5.26%）。体检组患者包括6种情况，甲状腺功能亢进3例（1.58%）；临床型甲状腺功能亢进2例（1.05%）；亚临床型甲状腺功能亢进1例（0.53%）；甲状腺功能减退2例（1.05%）；临床甲状腺功能减退1例（0.53%）；亚临床甲状腺功能减退1例（0.53%）。不孕组的甲状腺功能异常明显高于体检组，不孕组的甲状腺功能减退患者所占的比例明显高于体检组，差异均有统计学意义（P0.05）。结论：甲状腺功能减退与不孕史有相关性，不孕症患者检测甲状腺功能很有必要。 　　【关键词】 不孕症； 甲状腺功能减退； TSH； FT3； FT4 　　中图分类号 R581.2 文献标识码 A 文章编号 1674-6805（2015）35-0007-03 　　Clinical Analysis of Thyroid Function in Patients with Infertility Screening/LI Shan-feng，MO Ying-ping.//Chinese and Foreign Medical Research，2015，13（35）：7-9 　　【Abstract】 Objective：To investigate the relevance of hypothyroidism associated with adverse pregnancy history，the role of thyroid function tests in clinical treatment of infertility.Method：Thyroid function was detected in 190 patients with ovarian factor infertility，as the sterility group；and compared with the same period outpatient physical examination female 190 cases control，as the physical examination group.Result：There were six types in the sterility group，hyperthyroidism had 5 cases，accounted for 2.63%；clinical hyperthyroidism had 4 cases，accounted for 2.11%；subclinical hyperthyroidism had 1 case，accounted for 0.53%；hypothyroidism had 11cases，accounted for 5.79%；clinical hypothyroidism had 1 case，accounted for 0.53%；subclinical hypothyroidism had 10 cases，accounted for 5.26%.There were six types in the physical examination group，hyperthyroidism had 3 cases，accounted for 1.58%；clinical hyperthyroidism had 2 cases，accounted for 1.05%；subclinical hyperthyroidism had 1 case，accounted for 0.53%；hypothyroidism had 2 cases，accounted for 1.05%；clinical hypothyroidism had 1 case，accounted for 0.53%；subclinical hypothyroidism had 1 case，accounted for 0.53%.The thyroid dysfunction in the sterility group was obviously higher than that o