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甲状腺微粒体抗体放射免疫测定及其临床应用

DOUBLE-ANTIBODY RADIOIMMUNOASSAY OF THYROID MICROSOMAL ANTIBODY IN SERUM

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【作者】 张光正沈江帆戴蔼善李建林

【Author】 Chang Kwang-cheng Putuo District Central Hospital, Shanghai

【机构】 上海市普陀区中心医院同位素室上海市普陀区中心医院中心实验室上海市普陀区中心医院中心实验室

【摘要】 本文报道甲状腺微粒体抗体放射免疫(双抗体法)测定。并对技术指标作了简要探讨。应用本法测定100例正常人,x为10.3±2.4%(4.7~15.9%)。共检测167例各种甲状腺病患者。39例自身免疫性甲状腺炎中95%>15%,67例 Grave’s 中50.7%>15%,61例非自身免疫性甲状腺肿均<15%。本法与血凝法同时测定298例各种甲状腺病患者血清标本,二者的结果呈良好的相关性。根据实验结果并结合临床和病理,制定15%为甲状腺微粒体抗体放射免疫(双抗体法)测定正常和异常的临界值。

【Abstract】 A double-antibody RIA for anti-microsomal antibody in serum has been established in our laboratory soon after the purified microsomal antigen being avaiable to us. The antigen protein was radio-labeled ( 125I-Nal) by chloramine T. The relevant quality control indices were briefly discussed. The binding rate of 100 normal subjects assayed were x 10.3 ± 2.4% (4.7 - 15.9%), 95% were in between 5.5% and 15.1%. And that of 167 serum from the patients of thyroid diseases were:37/39(97%) of auto-immune thy-roiditis> 15%, 34/67 (42.2%) of Grave s dis. > 15%, and all the 61 non-autoimmune goiter were<15%. There is a good correlation, when concurrently tested with hemagg-lutiation method in 298 cases of various thyroid patients. After analysed the above data the author considered that the binding rate 15% is the suitable criterial value for normals and abnormals of our method.

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