Ducassou D, Rashedi M, Brendel A, Gasparoux S
Pathol Biol (Paris). 1980 Mar;28(3):168-72.
The value of TBG serum concentration for the exploration of thyroid function was studied by radioimmunoassay in 203 patients (133 normals, 62 dysthyroidism, 8 women taking oral contraceptives). The results of the normal patients show important and as of yet unexplained variations of TBG levels, depending on age and sex. In hyperthyroidism, serum TBG was reduced significantly in women and no significantly in men. In hypothyroidism, the levels are significantly high in both sexes. Like the TRH test, the TBG serum concentration determination may be helpful for the diagnosis of a slight hypothyroidism. Moreover, as the serum levels return to normal values with substitutive therapy, TBG assay may be used as a follow-up test during the treatment of hypothyroid patients.
采用放射免疫分析法对203例患者(133例正常人、62例甲状腺功能障碍患者、8例服用口服避孕药的女性)进行研究,以探讨血清甲状腺素结合球蛋白(TBG)浓度在评估甲状腺功能方面的价值。正常患者的结果显示,TBG水平存在显著且尚未明确原因的变化,这取决于年龄和性别。在甲状腺功能亢进症中,女性血清TBG显著降低,男性则无显著变化。在甲状腺功能减退症中,男女患者的TBG水平均显著升高。与促甲状腺激素释放激素(TRH)试验一样,测定血清TBG浓度可能有助于诊断轻度甲状腺功能减退症。此外,由于替代治疗后血清水平会恢复正常,TBG检测可用于甲状腺功能减退患者治疗期间的随访检查。