复发性流产合并甲状腺疾病的诊治

Diagnosis and treatment of recurrent spontaneous abortion complicated with thyroid disease

甲状腺疾病所致甲状腺功能异常是引起复发性流产的一个常见内分泌因素,近年来已成为内分泌学、生殖医学及围产医学领域研究和关注的热点之一。临床上常见的甲状腺疾病主要包括甲状腺功能亢进症、临床甲状腺功能减退症、亚临床甲状腺功能减退症及甲状腺自身免疫性疾病等。对于复发性流产合并甲状腺疾病的规范化诊治在业内尚未达成共识,故普遍存在诊断标准不一、用药不规范等现象。文章就复发性流产患者合并甲状腺疾病的诊治作一阐述。

Thyroid dysfunction caused by thyroid disease is one of the common endocrine factors causing recurrent spontaneous abortion(RSA).In recent years,it has become one of the hot spots in the fields of endocrinology,reproductive medicine and perinatal medicine.Clinically common thyroid diseases mainly include hyperthyroidism,clinical hypothyroidism,subclinical hypothyroidism and autoimmune thyroid diseases.No consensus has been reached on the standardized diagnosis and treatment of RSA patients combined with thyroid disease,so nowadays the phenomenon of inconsistent diagnostic criteria,overtreatment or irregular drug use is common.The purport of this paper is to provide a reference consensus for clinicians in the diagnosis and treatment of RSA patients with thyroid disease.