585例结缔组织病患者甲状腺疾病分析

Thyroid diseases in 585 patients with connective tissue diseases

对585例结缔组织病（CTD）患者的临床资料进行回顾性分析，发现合并甲状腺疾病的患者共236例（40．3％），其中以甲状腺功能减退症的发生率最高（47．9％），其余依次为正常甲状腺功能病态综合征（33．1％）、桥本甲状腺炎（11．4％）和甲状腺功能亢进症（5．1％）。上述结果提示对CTD患者有必要常规行甲状腺功能检查，以免漏诊。

The clinical data of 585 patients with connective tissue diseases （ CTD ） were retrospectively analyzed. Thyroid diseases were detected in 236 cases （40.3%）, in which the prevalence of hypothyroidism was the highest （47.9%）, followed by euthyroid sick syndrome （33. 1% ）, Hashimoto thyroiditis （ 11.4% ） and hyperthyroidism （5.1% ） ect. Determination of thyroid function and autoantibodies to thyroid gland were essential in these patients.