自身免疫性甲状腺疾病是妊娠期妇女最常见的疾病之一。研究发现,甲状腺自身抗体与流产、早产、不孕、胎盘早剥、围产儿死亡、产后甲状腺炎等相关,是一个重要的检测指标。孕前及孕期对甲状腺功能及自身抗体的筛查能早期检测相关疾病,以便早期干预,减少不良妊娠结局的发生。文章就妊娠期自身免疫性甲状腺疾病的筛查及治疗的最新进展做一阐述,希望对临床研究有指导作用。 Autoimmune thyroid disease is one of the most common diseases in pregnant women. The study found that thyroid autoantibodies and miscarriage, premature birth, infertility, placental abruption, perinatal death, postpartum thyroiditis, is an important test indicators. Pre and pre-pregnancy thyroid function and autoantibodies screening early detection of diseases, in order to early intervention to reduce the incidence of adverse pregnancy outcomes. This article describes the latest progress in the screening and treatment of autoimmune thyroid disease in pregnancy, and hopes to guide the clinical research.