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Graves甲状腺机能亢进(GD)102例,病程为1月～20年,经甲状腺细针穿刺细胞学检查结果,1例仍报告为GD,41例报告符台桥本氏甲状腺炎(HT)。该41例按上皮细胞退化变性和淋巴细胞浸润程度又分成三个类型。并结合同对检测的抗甲状腺球蛋白抗体(TGA),抗甲状腺微粒体抗体(TMA)分析,提示GD病程愈长,抗体水平愈高者,转变为HT的可能性愈大。涂片所见上皮细胞退化、变性和淋巴细胞浸润程度也愈严重。作者认为GD和HT关系密切,可以互相转变,很可能是同一种疾病的两种不同临床类型。
Graves Hyperthyroidism (GD) 102 cases, duration of 1 month to 20 years, the fine needle aspiration cytology results, 1 was still reported as GD, 41 cases reported Fu Tai Hashimoto’s thyroiditis (HT). The 41 cases of degeneration and epithelial cell degeneration and lymphocyte infiltration degree is divided into three types. Combined with the detection of anti-thyroglobulin antibody (TGA), anti-thyroid microsomal antibody (TMA) analysis, suggesting that longer course of GD, the higher the antibody level, the greater the possibility of conversion to HT. Epithelial cells seen smear degradation, degeneration and lymphocyte infiltration is also more serious. The author believes that GD and HT are closely related, and can change each other, probably two different clinical types of the same disease.