Shalev E, Eliyahu S, Ziv M, Ben-Ami M
Department of Obstetrics and Gynecology, Central Emek Hospital, Afula, Israel.
Am J Obstet Gynecol. 1994 Nov;171(5):1191-2. doi: 10.1016/0002-9378(94)90130-9.
To investigate the yield of routine thyroid function testing in infertile women, the records of 444 infertile women were categorized to standard infertility groups. Thyroid function was evaluated by measuring plasma free thyroxine and thyroid-stimulating hormone. All free thyroxine values were in the normal range (0.8 to 1.8 ng/ml), and only three thyroid-stimulating hormone values were higher than the normal range (0.15 to 4.5 mIU/L). The three women had ovulatory dysfunction. Thyroid function testing is more prudent in screening the subset of infertile women with ovulatory dysfunction and not as a routine measure in the infertile population.
为研究常规甲状腺功能检测在不孕女性中的检出率，将444例不孕女性的记录分类到标准不孕组。通过检测血浆游离甲状腺素和促甲状腺激素来评估甲状腺功能。所有游离甲状腺素值均在正常范围内（0.8至1.8 ng/ml），只有3例促甲状腺激素值高于正常范围（0.15至4.5 mIU/L）。这3名女性存在排卵功能障碍。甲状腺功能检测在筛查有排卵功能障碍的不孕女性亚组时更应谨慎，而不应作为不孕人群的常规检测手段。
