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目的：鉴别甲亢型桥本甲状腺炎（ Ｈ Ｔ）和 Ｇｒａｖｅｓ 病（ Ｇ Ｄ），提高 Ｈ Ｔ 的诊断率，减少 Ｈ Ｔ 手术和不必要的抗甲状腺治疗。方法：以经甲状腺细针穿刺活检或术后病理证实为 Ｈ Ｔ 和 Ｇ Ｄ 的临床表现为甲状腺功能亢进的病人为研究对象，以活检前或术前清晨空腹血清 Ｔ Ｇ Ａ， Ｔ Ｍ Ａ， Ｔ３， Ｔ４ 和 Ｔ Ｓ Ｈ 为检测指标。结果：甲亢型 Ｈ Ｔ 和 Ｇ Ｄ 病人的 Ｔ Ｇ Ａ， Ｔ３ 有明显差异（ Ｐ＜ ００１）； Ｔ３／ Ｔ４， Ｔ Ｍ Ａ， Ｔ Ｓ Ｈ 有显著差异（ Ｐ＜ ０００１）； Ｔ４ 无差异（ Ｐ＞ ００５）。结论：血清 Ｔ３， Ｔ３／ Ｔ４ ， Ｔ Ｓ Ｈ， Ｔ Ｇ Ａ 和 Ｔ Ｍ Ａ 可以作为鉴别甲亢型 Ｈ Ｔ 和 Ｇ Ｄ 的重要检测指标。
Objective: To identify Hyperthyroidism Hashimoto’s thyroiditis (H T) and Graves disease (G D), improve the diagnostic rate of H T, reduce H T surgery and unnecessary anti-thyroid treatment. Methods: Thyroid needle aspiration needle biopsy or postoperative pathology confirmed as H T and G D clinical manifestations of hyperthyroidism in patients with biopsy before or preoperative fasting serum T G A, T M A, T3, T4 and T S H for the detection of indicators. Results: There was a significant difference in T G A and T 3 between hyperthyroid patients with H T and G D (P <001), T3 / T4, T M A and T S H (P <0001), T4 No difference (P> 0 05). Conclusion: Serum T3, T3 / T4, T S H, T G A and T M A can be used as important markers for the identification of H T and G D in hyperthyroidism.