首页|抗甲状腺球蛋白抗体与抗甲状腺过氧化物酶抗体检验诊断甲状腺功能异常的价值分析

抗甲状腺球蛋白抗体与抗甲状腺过氧化物酶抗体检验诊断甲状腺功能异常的价值分析

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目的 探讨抗甲状腺球蛋白抗体(Anti-thyroglobulin Antibodies,TgAb)与抗甲状腺过氧化物酶抗体(Anti-thyroid Peroxidase Antibodies,TPOAb)检验诊断甲状腺功能异常的价值.方法 回顾性选取2021年1月—2023年5月江苏省灌云县中医院确诊的甲状腺功能异常患者(50例,观察组)、甲状腺功能正常者(50例,对照组)的临床资料.检测两组TgAb和TPOAb水平,分析诊断价值.结果 观察组患者TgAb、TPOAb水平明显高于对照组,差异有统计学意义(P均<0.05).桥本氏组患者的TgAb、TPOAb水平高于其他3组,Graves组高于甲亢组和甲减组,甲亢组高于甲减组,差异有统计学意义(P均<0.05).联合检验诊断灵敏度为98.00%,特异度为96.00%,准确度为97.00%,高于两种抗体单独检验的诊断效能(P均<0.05).结论 TgAb联合TPOAb检验用于诊断甲状腺功能异常准确性较高,同时可进行不同类型甲状腺疾病鉴别.
Value of Anti-thyroglobulin Antibody and Anti-thyroid Peroxidase Anti-body in the Diagnosis of Thyroid Dysfunction
Objective To investigate the value of anti-thyroglobulin antibodies(TgAb)and anti-thyroid peroxidase antibodies(TPOAb)in the diagnosis of thyroid dysfunction.Methods Clinical data of patients with thyroid dysfunc-tion(50 cases,observation group)and normal thyroid function(50 cases,control group)diagnosed in Guanyun County Hospital of Traditional Chinese Medicine,Jiangsu Province from January 2021 to May 2023 were retrospec-tively selected.The levels of TgAb and TPOAb in the two groups were detected and the diagnostic value was ana-lyzed.Results The levels of TgAb and TPOAb in observation group were significantly higher than those in control group,the differences were statistical significance(all P<0.05).The levels of TgAb and TPOAb in Hashimoto's group were higher than those in the other 3 groups,and those in Graves'group were higher than those in hyperthyroidism and hypothyroidism group,and those in hyperthyroidism group were higher than those in hypothyroidism group,the differences were statistical significance(all P<0.05).The diagnostic sensitivity,specificity and accuracy of the com-bined test were 98.00%,96.00%and 97.00%,which were higher than the diagnostic efficacy of the two antibody tests alone(all P<0.05).Conclusion TgAb combined with TPOAb test has high applied value in the diagnosis of thy-roid dysfunction,and can be used to distinguish different types of thyroid diseases.

Thyroid dysfunctionAnti-thyroglobulin antibodyAnti-thyroid peroxidase antibodyDiagnosis

余丽、徐云平、谷淑敬

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江苏省灌云县中医院检验科,江苏灌云 222200

甲状腺功能异常 抗甲状腺球蛋白抗体 抗甲状腺过氧化物酶抗体 诊断

2024

系统医学

系统医学

ISSN:
年,卷(期):2024.9(11)