{"id":2281,"date":"2026-11-04T16:21:04","date_gmt":"2026-11-04T08:21:04","guid":{"rendered":"https:\/\/www.millibuff.com\/?p=2281"},"modified":"2026-11-04T16:23:14","modified_gmt":"2026-11-04T08:23:14","slug":"%e5%b0%8f%e7%89%9b%e6%b4%9e%e5%af%9f-%e7%94%b2%e7%8a%b6%e8%85%ba%e7%9c%bc%e7%97%85ted%e4%b8%93%e9%a2%9801%ef%bc%9a%e6%b5%81%e8%a1%8c%e7%97%85%e5%ad%a6%e3%80%81%e5%8f%91%e7%97%85%e6%9c%ba%e5%88%b6","status":"publish","type":"post","link":"https:\/\/www.millibuff.com\/?p=2281","title":{"rendered":"\u5c0f\u725b\u6d1e\u5bdf | \u7532\u72b6\u817a\u773c\u75c5(TED)\u4e13\u989801\uff1a\u6d41\u884c\u75c5\u5b66\u3001\u53d1\u75c5\u673a\u5236\u3001\u98ce\u9669\u56e0\u7d20\u3001\u4e34\u5e8a\u8868\u73b0\u3001\u8bca\u65ad\u4e0e\u5206\u671f\u5206\u7ea7"},"content":{"rendered":"\n<h5 class=\"wp-block-heading\"><strong>\u4e00\u3001\u6d41\u884c\u75c5\u5b66\uff1a\u88ab\u4f4e\u4f30\u7684\u81f4\u6bc1\u5bb9\u6027\u773c\u75c5<\/strong><\/h5>\n\n\n\n<p class=\"wp-block-paragraph\">\u4e2d\u56fd\u6210\u4eba\u7532\u72b6\u817a\u529f\u80fd\u4ea2\u8fdb\u75c7\uff08\u4ee5\u4e0b\u7b80\u79f0\u7532\u4ea2\uff09\u60a3\u75c5\u7387\u4e3a1.22%\uff0c\u9884\u4f30\u6210\u4eba\u60a3\u75c5\u4eba\u6570\u8d85\u8fc71 000\u4e07\uff0c\u5176\u4e2d80%~90% \u7531\u5f25\u6f2b\u6027\u6bd2\u6027\u7532\u72b6\u817a\u80bf\uff08Graves disease\uff0cGD\uff09\u5f15\u8d77\u3002GD \u60a3\u8005\u4e2d<strong>25%~40%<\/strong> \u4f1a\u51fa\u73b0<strong>\u7532\u72b6\u817a\u773c\u75c5\uff08thyroid eye disease\uff0cTED\uff09<\/strong>\uff0c\u7ea640% \u7684 TED \u4e0e\u7532\u4ea2\u540c\u65f6\u51fa\u73b0\uff0c40% \u7684 TED \u5728\u7532\u4ea2\u540e\u53d1\u751f\uff0c\u4ec5\u5c11\u90e8\u5206\u60a3\u8005\u6709\u660e\u663e TED \u800c\u4e0d\u4f34\u7532\u4ea2\u3002<strong>TED 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~2.9\/10\u4e07\uff09\uff0c\u4f46\u662f\uff0c\u7537\u6027\u60a3\u8005\u7684\u75c5\u60c5\u8f83\u5973\u6027\u4e25\u91cd<sup>[1]<\/sup>\u3002<\/li>\n\n\n\n<li>\u53d1\u75c5\u9ad8\u5cf0\u96c6\u4e2d\u5728<strong>3<\/strong><strong>0<\/strong><strong>&#8211;<\/strong><strong>60 \u5c81<\/strong>\uff1b\u7ea6 70% \u7684\u773c\u90e8\u75c7\u72b6\u51fa\u73b0\u5728 Graves \u7532\u72b6\u817a\u75be\u75c5\u8d77\u75c5 12 \u4e2a\u6708\u4ee5\u5185\uff1b\u4f46\u6709\u5c11\u90e8\u5206\u60a3\u8005\uff0c\u773c\u90e8\u75c7\u72b6\u5148\u4e8e\u7532\u72b6\u817a\u529f\u80fd\u5f02\u5e38\u51fa\u73b0\uff0c\u6781\u6613\u6f0f\u8bca\u8bef\u8bca<sup>[3]<\/sup>\u3002<\/li>\n\n\n\n<li>90% \u7684 TED \u60a3\u8005\u53ef\u51fa\u73b0\u773c\u7751\u9000\u7f29\u3001\u773c\u7403\u7a81\u51fa\u3001\u590d\u89c6\u3001\u9650\u5236\u6027\u659c\u89c6\uff0c5%~10% \u60a3\u8005\u4f1a\u53d1\u751f\u89c6\u795e\u7ecf\u75c5\u53d8\u3001\u89d2\u819c\u6e83\u75a1\u3001\u89c6\u529b\u4e0b\u964d\u3002TED 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width=\"556\" height=\"398\" src=\"https:\/\/www.millibuff.com\/wp-content\/uploads\/2026\/11\/image.png\" alt=\"\" class=\"wp-image-2282\" style=\"width:787px;height:auto\" srcset=\"https:\/\/www.millibuff.com\/wp-content\/uploads\/2026\/11\/image.png 556w, https:\/\/www.millibuff.com\/wp-content\/uploads\/2026\/11\/image-300x215.png 300w\" sizes=\"(max-width: 556px) 100vw, 556px\" \/><\/figure>\n\n\n\n<p class=\"wp-block-paragraph\">\u56fe1. Rundle \u66f2\u7ebf\u7684\u793a\u610f\u56fe\u3002\u7532\u72b6\u817a\u76f8\u5173\u773c\u75c5\u7684\u75c5\u7a0b\u5305\u62ec\u4e00\u4e2a\u6d3b\u8dc3\u671f\uff0c\u6301\u7eed1\u52303\u5e74\uff0c\u671f\u95f4\u4e34\u5e8a\u8868\u73b0\u53ef\u80fd\u4f1a\u6709\u6216\u6ca1\u6709\u597d\u8f6c\uff0c\u4ee5\u53ca\u4e00\u4e2a\u6301\u7eed3\u5e74\u53ca\u4ee5\u4e0a\u7684\u975e\u6d3b\u8dc3\u671f\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><img decoding=\"async\" width=\"22\" height=\"22\" src=\"blob:https:\/\/www.millibuff.com\/ec25fa8c-9598-4c00-b742-ceb6a5b55040\"><strong>\u5c0f\u63d0\u793a\uff1a<\/strong>TED \u8f7b\u91cd\uff0c<strong>\u4e0d\u7b49\u4e8e\u7532\u72b6\u817a\u6fc0\u7d20\u9ad8\u4f4e<\/strong>\u3002\u7532\u529f\u63a7\u5236\u826f\u597d\uff0c\u4f9d\u7136\u53ef\u80fd\u51fa\u73b0\u773c\u75c5\u8fdb\u5c55\uff1b\u7532\u529f\u5f02\u5e38\uff0c\u4e5f\u4e0d\u4e00\u5b9a\u4f1a\u53d1\u751f\u7a81\u773c\uff0c\u4e8c\u8005\u4e0d\u5b8c\u5168\u5e73\u884c\u3002<\/p>\n\n\n\n<h5 class=\"wp-block-heading\"><strong>\u4e8c\u3001\u53d1\u75c5\u673a\u5236\uff1aTSHR<\/strong><strong>&#8211;<\/strong><strong>IGF<\/strong><strong>&#8211;<\/strong><strong>1R \u4ea4\u53c9\u6fc0\u6d3b\uff0c\u773c\u7736\u6210\u7ea4\u7ef4\u7ec6\u80de\u662f\u6838\u5fc3\u9776\u7ec6\u80de<\/strong><\/h5>\n\n\n\n<p class=\"wp-block-paragraph\">TED \u53d1\u75c5\u662f\u9057\u4f20\u3001\u73af\u5883\u3001\u591a\u91cd\u514d\u75ab\u901a\u8def\u5171\u540c\u4f5c\u7528\u7684\u7ed3\u679c\uff0c\u6838\u5fc3\u653b\u51fb\u9776\u70b9\u4f4d\u4e8e\u773c\u7736\u5185\uff0c\u800c\u975e\u7532\u72b6\u817a\u817a\u4f53\u672c\u8eab\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>\uff08\u4e00\uff09<\/strong><strong>\u591a\u91cd\u514d\u75ab\u901a\u8def<\/strong><sup><strong>[4]<\/strong><\/sup><\/p>\n\n\n\n<figure class=\"wp-block-image aligncenter size-full is-resized\"><img decoding=\"async\" width=\"375\" height=\"219\" src=\"https:\/\/www.millibuff.com\/wp-content\/uploads\/2026\/11\/image-2.png\" alt=\"\" class=\"wp-image-2284\" style=\"aspect-ratio:1.7123823316437363;width:576px;height:auto\" srcset=\"https:\/\/www.millibuff.com\/wp-content\/uploads\/2026\/11\/image-2.png 375w, https:\/\/www.millibuff.com\/wp-content\/uploads\/2026\/11\/image-2-300x175.png 300w\" sizes=\"(max-width: 375px) 100vw, 375px\" \/><\/figure>\n\n\n\n<p class=\"wp-block-paragraph\">\u56fe2\uff1aTED\u53d1\u75c5\u673a\u5236\u76f8\u5173\u7684\u4fe1\u53f7\u7ea7\u8054\u3002IGF1-R\uff1a\u7c7b\u80f0\u5c9b\u7d20\u751f\u957f\u56e0\u5b501\u53d7\u4f53\uff0cTSH-R\uff1a\u4fc3\u7532\u72b6\u817a\u6fc0\u7d20\u53d7\u4f53\uff0cTRAb\uff1a\u4fc3\u7532\u72b6\u817a\u6fc0\u7d20\u53d7\u4f53\u6297\u4f53\uff0cHA\uff1a\u900f\u660e\u8d28\u9178\uff0cGAG\uff1a\u7cd6\u80fa\u805a\u7cd6\uff0cIL-1\u03b2\uff1a\u767d\u7ec6\u80de\u4ecb\u7d20-1\u03b2\uff0cIL-2\uff1a\u767d\u7ec6\u80de\u4ecb\u7d20-2\uff0cIL-6\uff1a\u767d\u7ec6\u80de\u4ecb\u7d20-6\uff0cTNF-\u03b1\uff1a\u80bf\u7624\u574f\u6b7b\u56e0\u5b50\u03b1\uff0cIFN-\u03b3\uff1a\u5e72\u6270\u7d20\u03b3\u3002<\/p>\n\n\n\n<ol class=\"wp-block-list\">\n<li><strong>\u81ea\u8eab\u514d\u75ab\u8010\u53d7\u6253\u7834\uff1a<\/strong>\u673a\u4f53\u4ea7\u751f\u4fc3\u7532\u72b6\u817a\u6fc0\u7d20\u53d7\u4f53\u6297\u4f53 <strong>TRAb<\/strong><strong>(\u4fc3\u7532\u72b6\u817a\u6fc0\u7d20\u53d7\u4f53\u6297\u4f53\uff09<\/strong>\uff0c\u8be5\u6297\u4f53\u4e0d\u4ec5\u4f5c\u7528\u4e8e\u7532\u72b6\u817a\uff0c\u4e5f\u8bc6\u522b\u773c\u7736\u7ec4\u7ec7\u4e0a\u8868\u8fbe\u7684TSHR\uff08\u4fc3\u7532\u72b6\u817a\u6fc0\u7d20\u53d7\u4f53\uff09\uff1b\u773c\u7736\u6210\u7ea4\u7ef4\u7ec6\u80de\u540c\u65f6\u9ad8\u8868\u8fbe<strong>IGF<\/strong><strong>&#8211;<\/strong><strong>1R\uff08\u80f0\u5c9b\u7d20\u6837\u751f\u957f\u56e0\u5b50 1 \u53d7\u4f53\uff09<\/strong>\uff1b\u4e24\u4e2a\u53d7\u4f53\u53ef\u4ee5\u53d1\u751f\u4ea4\u53c9\u6fc0\u6d3b\uff0c<strong>\u653e\u5927\u5c40\u90e8\u514d\u75ab\u708e\u75c7\u53cd\u5e94<\/strong>\uff0c\u8fd9\u4e5f\u662f IGF-1R \u9776\u5411\u836f\u7269\u80fd\u591f\u6cbb\u7597 TED 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\u7ec6\u80de\u3001\u5de8\u566c\u7ec6\u80de\u6d78\u6da6\u773c\u7736\uff0c<strong>\u91ca\u653e IL<\/strong><strong>&#8211;<\/strong><strong>6\u3001\u5e72\u6270\u7d20<\/strong><strong>&#8211;<\/strong><strong>\u03b3 \u7b49\u5927\u91cf\u708e\u75c7\u56e0\u5b50<\/strong>\uff0c\u8fdb\u4e00\u6b65\u653e\u5927\u708e\u75c7\uff0c\u5f62\u6210\u6076\u6027\u5faa\u73af\uff1b\u6d3b\u52a8\u671f\u4ee5 Th1 \u578b\u514d\u75ab\u5e94\u7b54\u4e3a\u4e3b\uff0c\u6162\u6027\u975e\u6d3b\u52a8\u671f\u9010\u6b65\u8f6c\u5411\u7ea4\u7ef4\u5316\u6539\u53d8\u3002<\/li>\n<\/ol>\n\n\n\n<p class=\"wp-block-paragraph\"><img loading=\"lazy\" decoding=\"async\" width=\"22\" height=\"22\" src=\"blob:https:\/\/www.millibuff.com\/5187eea4-c023-4da0-a2e1-d3d34061d252\"><strong>\u901a\u4fd7\u603b\u7ed3\uff1a<\/strong>\u4e0d\u662f\u7532\u72b6\u817a\u76f4\u63a5 \u201c\u4f20\u67d3\u201d 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TED\u3002\u8fd9\u4e9b\u6613\u611f\u57fa\u56e0\u5177\u6709\u514d\u75ab\u8c03\u8282\u529f\u80fd\u3002\u4f46\u9057\u4f20\u548c\u514d\u75ab\u95f4\u7684\u5177\u4f53\u8c03\u63a7\u673a\u5236\u5c1a\u9700\u6df1\u5165\u7814\u7a76\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>\uff08\u4e09\uff09<\/strong><strong>\u73af\u5883\u56e0\u7d20<\/strong><sup>[5]<\/sup><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u73af\u5883\u4e2d\u7684\u5371\u9669\u56e0\u7d20\u53ef\u901a\u8fc7\u6c27\u5316\u5e94\u6fc0\u7b49\u9014\u5f84\uff0c\u589e\u5f3a\u7ec6\u80de\u514d\u75ab\u6548\u5e94\u6216\u6fc0\u6d3bOF\u3002\u76ee\u524d\u5df2\u8ba4\u8bc6\u5230\u7684\u5371\u9669\u56e0\u7d20\u5305\u62ec\u5438\u70df\u3001\u9ad8\u80c6\u56fa\u9187\u8840\u75c7\uff08\u5c24\u5176\u9ad8\u4f4e\u5bc6\u5ea6\u8102\u86cb\u767d\u8840\u75c7\uff09\u3001\u7532\u72b6\u817a\u529f\u80fd\u5f02\u5e38\uff08\u5305\u62ec\u8840\u6e05 TRAb\u5f02\u5e38\uff09\u3001\u5fae\u91cf\u5143\u7d20\uff08\u5c24\u5176\u7852\u5143\u7d20\uff09\u7f3a\u4e4f\u3001\u653e\u5c04\u6027\u7898\u6cbb\u7597\u3001\u751f\u6d3b\u5e94\u6fc0\u548c\u538b\u529b\u7b49\u3002<\/p>\n\n\n\n<h5 class=\"wp-block-heading\"><strong>\u4e09\u3001\u5173\u952e\u98ce\u9669\u56e0\u7d20\uff1a\u54ea\u4e9b\u4eba\u66f4\u5bb9\u6613\u53d1\u751f\u3001\u52a0\u91cd TED\uff1f<\/strong><\/h5>\n\n\n\n<p class=\"wp-block-paragraph\">\u90e8\u5206\u5371\u9669\u56e0\u7d20\u53ef\u4ee5\u4eba\u4e3a\u5e72\u9884\uff0c\u662f\u6240\u6709 TED \u60a3\u8005\u7684\u57fa\u7840\u7ba1\u7406\u91cd\u70b9<sup>[6]<\/sup>\u3002<\/p>\n\n\n\n<ol class=\"wp-block-list\">\n<li><strong>\u5438\u70df\uff08\u6700\u5f3a\u53ef\u5e72\u9884\u5371\u9669\u56e0\u7d20\uff09<\/strong><strong>:<\/strong> \u5438\u70df\u663e\u8457\u63d0\u5347 TED \u53d1\u75c5\u98ce\u9669\u3001\u52a0\u91cd\u75be\u75c5\u4e25\u91cd\u7a0b\u5ea6\uff1b\u5ef6\u957f\u708e\u75c7\u6d3b\u52a8\u671f\uff1b\u964d\u4f4e\u6fc0\u7d20\u3001\u9776\u5411\u836f\u7269\u6cbb\u7597\u5e94\u7b54\u7387\uff1b\u6212\u70df\u53ef\u4ee5\u663e\u8457\u6539\u5584\u6574\u4f53\u9884\u540e\uff0c\u662f\u6240\u6709 TED \u60a3\u8005\u7b2c\u4e00\u8981\u52a1\uff0c\u540c\u65f6\u89c4\u907f\u4e8c\u624b\u70df\u66b4\u9732\u3002<\/li>\n\n\n\n<li><strong>\u5e74\u9f84\u4e0e\u6027\u522b<\/strong>\u00a0\uff1a40-60 \u5c81\u9ad8\u53d1\uff1b\u5973\u6027\u60a3\u75c5\u66f4\u591a\uff0c\u4f46\u7537\u6027\u91cd\u75c7\u6bd4\u4f8b\u66f4\u9ad8\u3002<\/li>\n\n\n\n<li><strong>TRAb \u6297\u4f53\u6c34\u5e73<\/strong>\u00a0\uff1a\u8840\u6e05 TRAb\uff08TSHR \u523a\u6fc0\u6027\u6297\u4f53\uff09\u6ef4\u5ea6\u8d8a\u9ad8\uff0c\u53d1\u751f\u3001\u8fdb\u5c55\u4e3a\u4e2d\u91cd\u5ea6 TED \u98ce\u9669\u8d8a\u9ad8\uff0c\u540c\u65f6\u53ef\u4ee5\u7528\u4e8e\u76d1\u6d4b\u75be\u75c5\u6d3b\u52a8\u8d8b\u52bf\u3002<\/li>\n\n\n\n<li><strong>\u7532\u72b6\u817a\u6cbb\u7597\u76f8\u5173\u56e0\u7d20<\/strong><strong>\uff1a<\/strong> \u653e\u5c04\u6027\u7898\u6cbb\u7597\u53ef\u8bf1\u53d1\u6216\u52a0\u91cd TED\uff1b\u7532\u4ea2\u3001\u7532\u51cf\u53cd\u590d\u6ce2\u52a8\uff0c\u90fd\u4f1a\u4fc3\u8fdb\u773c\u75c5\u8fdb\u5c55\u3002<\/li>\n\n\n\n<li><strong>\u9057\u4f20\u4e0e\u5408\u5e76\u81ea\u8eab\u514d\u75ab\u75c5<\/strong>\u00a0\uff1a\u5b58\u5728\u9057\u4f20\u6613\u611f\u80cc\u666f\uff1b\u5408\u5e76\u5176\u4ed6\u81ea\u8eab\u514d\u75ab\u75c5\u4f1a\u63d0\u5347\u60a3\u75c5\u98ce\u9669\u3002<\/li>\n\n\n\n<li><strong>\u7ef4\u751f\u7d20D\u7f3a\u4e4f\uff1a<\/strong>\u7ef4\u751f\u7d20 D \u7f3a\u4e4f \u8840\u6e05\u7ef4\u751f\u7d20 D \u6c34\u5e73\u4e0e\u7532\u72b6\u817a\u773c\u75c5\u4e4b\u95f4\u7684\u5173\u7cfb\u4e5f\u662f\u4e00\u4e2a\u65e5\u76ca\u53d1\u5c55\u7684\u7814\u7a76\u9886\u57df\u3002\u6709\u4e00\u9879\u7814\u7a76\u8868\u660e\u7532\u72b6\u817a\u773c\u75c5\u60a3\u8005\u8840\u6e05 25(OH) D \u6c34\u5e73\u660e\u663e\u4f4e\u4e8eTED\u60a3\u8005\u3002\u6587\u732e\u4e2d\u73b0\u6709\u7684\u8bc1\u636e\u867d\u7136\u6709\u9650\uff0c\u4f46\u8868\u660e\u7ef4\u751f\u7d20 D \u548cTED\u6709\u5173\u3002<\/li>\n<\/ol>\n\n\n\n<h5 class=\"wp-block-heading\"><strong>\u56db\u3001\u4e34\u5e8a\u8868\u73b0<\/strong><sup><strong>[7]<\/strong><\/sup><strong>\uff1a\u4ece\u773c\u5e72\u4e0d\u9002\u5230\u89c6\u529b\u4e27\u5931<\/strong><\/h5>\n\n\n\n<p class=\"wp-block-paragraph\">TED \u4e34\u5e8a\u8868\u73b0\u5206\u4e3a\u8f6f\u7ec4\u7ec7\u708e\u75c7\u3001\u5f62\u6001\u6539\u53d8\u3001\u529f\u80fd\u635f\u5bb3\u3001\u7ec8\u672b\u671f\u4e25\u91cd\u5e76\u53d1\u75c7\u56db\u5927\u7c7b\uff0c\u53ef\u5355\u773c\u6216\u53cc\u773c\u53d1\u75c5\u3002<\/p>\n\n\n\n<ol class=\"wp-block-list\">\n<li><strong>\u8f6f\u7ec4\u7ec7\u708e\u75c7\u8868\u73b0\uff08\u6d3b\u52a8\u671f\u5178\u578b\uff09<\/strong> \u773c\u7403\u6df1\u90e8\u80c0\u75db\u3001\u773c\u7403\u8f6c\u52a8\u75bc\u75db\uff1b\u773c\u7751\u7ea2\u80bf\u6c34\u80bf\uff1b\u7ed3\u819c\u5145\u8840\u3001\u7ed3\u819c\u6c34\u80bf\uff08\u80f6\u51bb\u6837\u9686\u8d77\uff09\uff1b\u6cea\u961c\u7ea2\u80bf\uff1b\u754f\u5149\u3001\u5f02\u7269\u611f\u3001\u6d41\u6cea\u3002<\/li>\n\n\n\n<li><strong>\u5f62\u6001\u5916\u89c2\u6539\u53d8<\/strong> \u773c\u7751\u9000\u7f29\uff08\u77aa\u773c\u5916\u89c2\uff0c\u5de9\u819c\u9732\u767d\uff09\uff1b\u773c\u7403\u7a81\u51fa\uff08\u7a81\u773c\uff09\uff1b\u773c\u7751\u80bf\u80c0\u3002<\/li>\n\n\n\n<li><strong>\u773c\u7403\u529f\u80fd\u53d7\u635f<\/strong> \u773c\u7403\u8f6c\u52a8\u53d7\u9650\u3001\u590d\u89c6\uff08\u770b\u4e1c\u897f\u91cd\u5f71\uff09\uff1b\u5e72\u773c\u3001\u5f02\u7269\u611f\u3002<\/li>\n\n\n\n<li><strong>\u4e25\u91cd\u5a01\u80c1\u89c6\u529b\u7684\u5e76\u53d1\u75c7<\/strong> \u2460\u66b4\u9732\u6027\u89d2\u819c\u708e\uff1a\u773c\u7751\u95ed\u5408\u4e0d\u5168\uff0c\u89d2\u819c\u957f\u671f\u66b4\u9732\uff0c\u51fa\u73b0\u89d2\u819c\u6e83\u75a1\uff1b \u2461<strong>\u89c6\u795e\u7ecf\u538b\u8feb\u75c5\u53d8 DON<\/strong>\uff1a\u7736\u5185\u7ec4\u7ec7\u8fc7\u5ea6\u80bf\u80c0\u538b\u8feb\u89c6\u795e\u7ecf\uff0c\u8272\u89c9\u4e0b\u964d\u3001\u89c6\u91ce\u7f3a\u635f\u3001\u89c6\u529b\u4e0b\u964d\uff0c\u5904\u7406\u4e0d\u53ca\u65f6\u4f1a\u6c38\u4e45\u6027\u5931\u660e\uff0c\u5c5e\u4e8e\u773c\u79d1\u6025\u75c7\u3002<\/li>\n<\/ol>\n\n\n\n<figure class=\"wp-block-image aligncenter size-full is-resized\"><img loading=\"lazy\" decoding=\"async\" width=\"452\" height=\"117\" src=\"https:\/\/www.millibuff.com\/wp-content\/uploads\/2026\/11\/image-3.png\" alt=\"\" class=\"wp-image-2285\" style=\"aspect-ratio:3.8637299952463953;width:542px;height:auto\" srcset=\"https:\/\/www.millibuff.com\/wp-content\/uploads\/2026\/11\/image-3.png 452w, https:\/\/www.millibuff.com\/wp-content\/uploads\/2026\/11\/image-3-300x78.png 300w\" sizes=\"(max-width: 452px) 100vw, 452px\" \/><\/figure>\n\n\n\n<p class=\"has-text-align-left wp-block-paragraph\">\u56fe3\uff1a\u5448\u73b0\u4e00\u540d55\u5c81\u5973\u6027\u56e0\u6d3b\u8dc3\u6027TED\u5165\u9662\u7684\u4e34\u5e8a\u7167\u7247\u3002\u4e24\u5e74\u524d\uff0c131-I \u6cbb\u7597\u598a\u5a20\u7cd6\u5c3f\u75c5\uff08Graves\u75c5\uff09\u671f\u95f4\u7532\u72b6\u817a\u529f\u80fd\u4ea2\u8fdb\u7684\u75c5\u53f2\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><img loading=\"lazy\" decoding=\"async\" width=\"22\" height=\"22\" src=\"blob:https:\/\/www.millibuff.com\/42ea82bc-e000-4eab-a02c-09925b4acc87\">\u91cd\u8981\u63d0\u9192\uff1a\u5c11\u6570\u60a3\u8005\u7532\u529f\u5b8c\u5168\u6b63\u5e38\uff0c\u4f9d\u7136\u53ef\u4ee5\u51fa\u73b0\u5178\u578b TED\uff0c\u5373 \u201c\u7532\u529f\u6b63\u5e38Graves \u773c\u75c5\u201d\uff0c\u5bb9\u6613\u88ab\u6f0f\u8bca\u3002<\/p>\n\n\n\n<h5 class=\"wp-block-heading\"><strong>\u4e94\u3001\u75be\u75c5\u8bca\u65ad\uff1aBartley \u8bca\u65ad\u6807\u51c6<\/strong><\/h5>\n\n\n\n<p class=\"wp-block-paragraph\">\u8bca\u65ad TED \u4e3b\u8981\u4f9d\u636e\u4ee5\u4e0b 3 \u4e2a\u65b9\u9762\uff1a\uff081\uff09\u5178\u578b\u7684\u773c\u90e8\u75c7\u72b6\uff0c\u5982\u773c\u7751\u9000\u7f29\u3001\u773c\u7403\u7a81\u51fa\u3001\u659c\u89c6\u3001\u590d\u89c6\u7b49\uff1b\uff082\uff09\u7532\u72b6\u817a\u529f\u80fd\u6216\u7532\u72b6\u817a\u76f8\u5173\u6297\u4f53\u5f02\u5e38\uff1b\uff083\uff09\u5f71\u50cf\u5b66\u8868\u73b0\uff0c\u5982\u773c\u5916\u808c\u589e\u7c97\u7b49\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u4e34\u5e8a\u5e7f\u6cdb\u91c7\u7528 Bartley \u8bca\u65ad\u6807\u51c6\uff0c\u56fd\u5185\u300a\u4e2d\u56fd\u7532\u72b6\u817a\u76f8\u5173\u773c\u75c5\u8bca\u65ad\u548c\u6cbb\u7597\u6307\u5357\uff082022\uff09\u300b\u4e5f\u91c7\u7eb3\u8be5\u6846\u67b6\uff0c\u8bca\u65ad\u540c\u65f6\u9700\u8981\u6392\u9664\u773c\u7736\u80bf\u7624\u3001\u708e\u6027\u5047\u7624\u3001\u773c\u808c\u708e\u7b49\u5176\u4ed6\u773c\u7736\u75be\u75c5\u3002<\/p>\n\n\n\n<ol class=\"wp-block-list\">\n<li><strong>\u60c5\u51b5\u4e00\uff1a\u4ee5\u773c\u7751\u9000\u7f29\u4e3a\u9996\u53d1\u75c7\u72b6<\/strong><strong>\uff1a<\/strong>\u987b\u5408\u5e76\u4ee5\u4e0b 3\u9879\u4f53\u5f81\u6216\u68c0\u67e5\u7ed3\u679c\u4e4b\u4e00\uff0c\u5e76\u6392\u9664\u5176\u4ed6\u539f\u56e0\uff0c\u5373\u53ef\u8bca\u65ad\u3002\uff081\uff09\u7532\u72b6\u817a\u529f\u80fd\u6216\u7532\u72b6\u817a\u76f8\u5173\u6297\u4f53\uff3b\u6e38\u79bb\u4e09\u7898\u7532\u72b6\u817a\u539f\u6c28\u9178\uff08free triiodothyronine\uff0cFT3\uff09\u3001\u6e38\u79bb\u7532\u72b6\u817a\u7d20\uff08free thyroxine\uff0cFT4\uff09\u3001\u603b\u4e09\u7898\u7532\u72b6\u817a\u539f\u6c28\u9178\u3001\u603b\u7532\u72b6\u817a\u7d20\u3001\u8840\u6e05\u4fc3\u7532\u72b6\u817a\u6fc0\u7d20\uff08thyroid stimulatinghormone\uff0cTSH\uff09\u3001\u4fc3 \u7532 \u72b6 \u817a \u6fc0 \u7d20 \u53d7 \u4f53 \u6297 \u4f53\uff08thyrotrophin receptor antibody\uff0cTRAb\uff09\uff3d\u4e4b\u4e00\u5f02\u5e38\uff1b\uff082\uff09\u773c\u7403\u7a81\u51fa\uff1a\u773c\u7403\u7a81\u51fa\u5ea6\u5927\u4e8e\u6b63\u5e38\u503c\uff08\u89c1\u56fe4\uff09\uff0c\u6216\u53cc\u773c\u7a81\u51fa\u5ea6\u5dee\u503c>2 mm\uff0c\u6216\u8fdb\u884c\u6027\u773c\u7403\u7a81\u51fa\uff1b\uff083\uff09\u773c\u5916\u808c\u53d7\u7d2f\uff1a\u773c\u7736 CT \u6216\u773c\u7736 MRI \u663e\u793a\u4e0d\u7d2f\u53ca\u808c\u8171\u7684\u5355\u6761\u6216\u591a\u6761\u773c\u5916\u808c\u4e2d\u540e\u6bb5\u89c4\u5219\u6027\u589e\u7c97\u3002<\/li>\n<\/ol>\n\n\n\n<ol class=\"wp-block-list\">\n<li><strong>\u60c5\u51b5\u4e8c\uff1a\u4ee5\u7532\u72b6\u817a\u529f\u80fd\u6216\u7532\u72b6\u817a\u76f8\u5173\u6297\u4f53\u5f02\u5e38\u4e3a\u9996\u53d1\u75c7\u72b6\uff1a<\/strong>\u987b\u5408\u5e76\u4ee5\u4e0b 3 \u9879\u4f53\u5f81\u4e4b\u4e00\uff0c\u5e76\u6392\u9664\u5176\u4ed6\u539f\u56e0\uff0c\u540e\u5373\u53ef\u8bca\u65ad\u3002\uff081\uff09\u773c\u7751\u9000\u7f29\uff1b\uff082\uff09\u773c\u7403\u7a81\u51fa\uff1b\uff083\uff09\u773c\u5916\u808c\u53d7\u7d2f\u3002<\/li>\n<\/ol>\n\n\n\n<figure class=\"wp-block-image aligncenter size-full is-resized\"><img loading=\"lazy\" decoding=\"async\" width=\"592\" height=\"216\" src=\"https:\/\/www.millibuff.com\/wp-content\/uploads\/2026\/11\/image-1.png\" alt=\"\" class=\"wp-image-2283\" style=\"aspect-ratio:2.7408252747912787;width:743px;height:auto\" srcset=\"https:\/\/www.millibuff.com\/wp-content\/uploads\/2026\/11\/image-1.png 592w, https:\/\/www.millibuff.com\/wp-content\/uploads\/2026\/11\/image-1-300x109.png 300w\" sizes=\"(max-width: 592px) 100vw, 592px\" \/><\/figure>\n\n\n\n<p class=\"has-text-align-center wp-block-paragraph\">\u56fe4\uff1a\u4e2d\u56fd\u4eba\u773c\u7403\u7a81\u51fa\u5ea6\u7814\u7a76\u7ed3\u679c<sup>[5]<\/sup>\u3002<\/p>\n\n\n\n<h5 class=\"wp-block-heading\"><strong>\u516d\u3001<\/strong><strong>TED\u7684\u5206\u671f\u4e0e\u5206\u7ea7<\/strong><strong>\uff1a\u533a\u5206\u6d3b\u52a8<\/strong><strong>\u7a0b\u5ea6<\/strong><strong>\u4e0e<\/strong><strong>\u4e25\u91cd\u7a0b\u5ea6<\/strong><strong>\uff0c\u6307\u5bfc\u7528\u836f<\/strong><\/h5>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>1.TED\u7684\u5206\u671f<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">TED\u662f\u4e00\u79cd\u5668\u5b98\u7279\u5f02\u81ea\u8eab\u514d\u75ab\u6027\u708e\u6027\u53cd\u5e94\uff0c\u75c5\u7a0b\u957f\uff0c\u5206\u4e3a\u6d3b\u52a8\u671f\u548c\u975e\u6d3b\u52a8\u671f\uff0c\u60a3\u8005\u53ef\u80fd\u7ecf\u8fc7 18~24 \u4e2a\u6708\u7684\u75be\u75c5\u6d3b\u52a8\u671f\u540e\u9010\u6e10\u8fdb\u5165\u975e\u6d3b\u52a8\u671f\u3002<strong>\u5bf9T<\/strong><strong>ED<\/strong><strong> \u8fdb\u884c\u75be\u75c5\u6d3b\u52a8\u6027\u5206\u671f\uff0c\u53ef\u4e3a\u5236\u5b9a\u6cbb\u7597\u65b9\u6848\u3001\u9009\u62e9\u624b\u672f\u65f6\u673a\u548c\u8bc4\u4f30\u9884\u540e\u63d0\u4f9b\u4f9d\u636e\u3002<\/strong><strong>TED<\/strong><strong> \u75be\u75c5\u6d3b\u52a8\u6027\u5206\u671f\u5efa\u8bae\u91c7\u7528CAS\u4e0e\u5f71\u50cf\u5b66\u68c0\u67e5\u7ed3\u679c\u76f8\u7ed3\u5408\u7684\u65b9\u5f0f<\/strong><\/p>\n\n\n\n<ol class=\"wp-block-list\">\n<li>\u91c7\u7528<strong>\u4e34\u5e8a\u6d3b\u52a8\u6027\u8bc4\u5206\uff08clinical activity score\uff0cCAS\uff09<\/strong>\u5bf9\u521d\u8bca TED \u60a3\u8005\u8fdb\u884c\u75be\u75c5\u6d3b\u52a8\u6027\u5206\u671f\u3002CAS\u662f\u76ee\u524d\u5168\u7403 EUGOGO\u3001ATA \u6307\u5357\u4e00\u81f4\u63a8\u8350\uff0c\u7528\u4e8e\u5feb\u901f\u5224\u65ad\u75be\u75c5\u708e\u75c7\u6d3b\u52a8\u5ea6\u7684\u5de5\u5177\uff0c\u4e00\u5171 7 \u4e2a\u6761\u76ee\uff0c\u6bcf\u5b58\u5728 1 \u9879\u8ba1 1 \u5206\uff0c\u6ee1\u5206 7 \u5206\u3002\u5404\u9879\u708e\u75c7\u4f53\u5f81\u76f4\u89c2\u56fe\u8c31\u53ef\u53c2\u8003\u96f7\u8d85\u5b87\u3001\u5468\u6167\u82b3\u7b49\u53d1\u8868\u4e8e\u300a\u4e2d\u534e\u5b9e\u9a8c\u773c\u79d1\u6742\u5fd7\u300b\u7684\u300a\u5173\u6ce8\u9002\u5408\u4e2d\u56fd\u4eba\u7fa4\u7684\u7532\u72b6\u817a\u773c\u75c5\u4e34\u5e8a\u6d3b\u52a8\u6027\u8bc4\u5206\u65b9\u6cd5\u300b<sup>[8]<\/sup>\u3002<\/li>\n<\/ol>\n\n\n\n<p class=\"wp-block-paragraph\">\u88681\uff1a\u4e34\u5e8a\u6d3b\u52a8\u6027\u8bc4\u5206\uff08clinical activity score\uff0cCAS\uff09\u8868<\/p>\n\n\n\n<figure class=\"wp-block-table\"><table class=\"has-fixed-layout\"><tbody><tr><td><strong>CAS \u8bc4\u5206 7 \u9879\u6761\u76ee<\/strong><\/td><td><strong>\u8868\u73b0\u63cf\u8ff0<\/strong><\/td><\/tr><tr><td>\u81ea\u53d1\u6027\u7403\u540e\u75bc\u75db<\/td><td>\u773c\u7403\u6df1\u90e8\u81ea\u53d1\u80c0\u75db\u3001\u538b\u75db<\/td><\/tr><tr><td>\u773c\u7403\u8f6c\u52a8\u65f6\u75bc\u75db<\/td><td>\u5411\u4e0a\u3001\u4fa7\u65b9\u8f6c\u52a8\u773c\u7403\u51fa\u73b0\u773c\u7736\u75bc\u75db<\/td><\/tr><tr><td>\u773c\u7751\u53d1\u7ea2<\/td><td>\u773c\u7751\u76ae\u80a4\u5145\u8840\u53d1\u7ea2<\/td><\/tr><tr><td>\u773c\u7751\u6c34\u80bf<\/td><td>\u773c\u7751\u8f6f\u7ec4\u7ec7\u80bf\u80c0\u6d6e\u80bf<\/td><\/tr><tr><td>\u7ed3\u819c\u5145\u8840<\/td><td>\u7403\u7ed3\u819c\u5f25\u6f2b\u53d1\u7ea2\uff08\u6392\u9664\u666e\u901a\u7ed3\u819c\u708e\u3001\u5e72\u773c\uff09<\/td><\/tr><tr><td>\u7ed3\u819c\u6c34\u80bf<\/td><td>\u7ed3\u819c\u80f6\u51bb\u6837\u6c34\u80bf\u9686\u8d77<\/td><\/tr><tr><td>\u6cea\u961c\u80bf\u80c0<\/td><td>\u773c\u5185\u89d2\u6cea\u961c\u7ec4\u7ec7\u7ea2\u80bf<\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n<figure class=\"wp-block-image aligncenter size-full is-resized\"><img loading=\"lazy\" decoding=\"async\" width=\"507\" height=\"379\" src=\"https:\/\/www.millibuff.com\/wp-content\/uploads\/2026\/11\/image-4.png\" alt=\"\" class=\"wp-image-2286\" style=\"aspect-ratio:1.337776431384429;width:630px;height:auto\" srcset=\"https:\/\/www.millibuff.com\/wp-content\/uploads\/2026\/11\/image-4.png 507w, https:\/\/www.millibuff.com\/wp-content\/uploads\/2026\/11\/image-4-300x224.png 300w\" sizes=\"(max-width: 507px) 100vw, 507px\" \/><\/figure>\n\n\n\n<p class=\"wp-block-paragraph\">\u56fe5\uff1a\u773c\u7751\u5145\u8840\u8bc4\u5206\u56fe\u8c31<sup> [8]<\/sup>\u3002A\uff1a\u9634\u6027\uff1bB\uff1a\u53cc\u773c\u4e0b\u7751\u7751\u677f\u524d\u5145\u8840\uff0c\u5de6\u773c\u4e0a\u7751\u677f\u524d\u5145\u8840\uff1bC\uff1a\u5de6\u773c\u4e0b\u7751\u7751\u677f\u524d\u5145\u8840\uff1bD\uff1a\u53cc\u773c\u4e0a\u7751\u7736\u9694\u524d\u5145\u8840E\uff1a\u53cc\u773c\u4e0a\u7751\u7736\u9694\u524d\u3001\u7751\u677f\u524d\u5145\u8840\uff0c\u53f3\u773c\u4e0b\u7751\u7751\u677f\u524d\u5145\u8840\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong><\/strong><strong>\u5224\u8bfb\u6807\u51c6\uff1a<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>CAS \u22653 \u5206\uff1a\u63d0\u793a\u75be\u75c5\u5904\u4e8e\u6d3b\u52a8\u708e\u75c7\u671f<\/strong>\uff0c\u514d\u75ab\u6291\u5236\u6cbb\u7597\u3001\u9776\u5411\u836f\u7269\u66f4\u53ef\u80fd\u83b7\u76ca\uff1b<\/li>\n\n\n\n<li><strong>CAS\uff1c3 \u5206\uff1a\u63d0\u793a\u504f\u5411\u975e\u6d3b\u52a8\uff08\u6162\u6027\u9759\u6b62\u671f\uff09<\/strong>\uff0c\u708e\u75c7\u6d88\u9000\uff0c\u7ec4\u7ec7\u4ee5\u7ea4\u7ef4\u5316\u4e3a\u4e3b\uff0c\u836f\u7269\u7597\u6548\u6709\u9650\uff0c\u591a\u8003\u8651\u77eb\u6b63\u624b\u672f\u3002<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>\u26a0\ufe0f\u91cd\u8981\u533a\u5206\uff1a<\/strong><strong>\u6d3b\u52a8\u5ea6 \u2260 \u4e25\u91cd\u5ea6<\/strong>\uff0cCAS \u770b\u7684\u662f\u300c\u708e\u75c7\u662f\u5426\u6b63\u5728\u6d3b\u8dc3\u300d\uff0c\u4e0d\u4ee3\u8868\u75c5\u60c5\u591a\u91cd\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong><\/strong><strong>\u6ce8\u610f\uff1a<\/strong>\u4f7f\u7528 CAS \u5bf9 TED\u8fdb\u884c\u968f\u8bbf\u548c\u6cbb\u7597\u6548\u679c\u8bc4\u4f30\u65f6\uff0c\u987b\u5728\u5e38\u89c47\u9879\u5185\u5bb9\u57fa\u7840\u4e0a\u589e\u52a03\u9879\u5185\u5bb9\uff0c\u5373\u773c\u7403\u7a81\u51fa\u5ea6\u589e\u52a0 2 mm \u6216\u4ee5\u4e0a\u3001\u773c\u7403\u8fd0\u52a8\u51cf\u5c11 8\u00b0\u6216\u4ee5\u4e0a\uff08Goldmann \u89c6\u91ce\u8ba1\u6216\u540c\u89c6\u673a\u68c0\u67e5\u7ed3\u679c\uff09\u3001\u89c6\u529b\u4e0b\u964d1\u884c\u6216\u4ee5\u4e0a\u3002<strong>\u968f\u8bbfCAS\uff08\u603b\u520610\u5206\uff09\u22654\u5206\u4e3a\u6d3b\u52a8\u671f\u3002<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong><\/strong><strong>CAS\u4f18\u70b9\uff1a<\/strong>CAS \u5185\u5bb9\u7b80\u5355\u660e\u4e86\uff0c\u53ef\u64cd\u4f5c\u6027\u5f3a\uff0c\u68c0\u67e5\u8005\u77ed\u65f6\u95f4\u5185\u5373\u53ef\u5b8c\u6210\u8bc4\u5206\uff0c\u6613\u4e8e\u63a8\u5e7f\u5e94\u7528\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong><\/strong><strong>CAS\u7f3a\u70b9\uff1a<\/strong>CAS\u6613\u53d7\u5230\u68c0\u67e5\u8005\u548c\u88ab\u68c0\u8005\u4e3b\u89c2\u56e0\u7d20\u5f71\u54cd\uff0c\u7ed3\u679c\u53ef\u80fd\u4ea7\u751f\u504f\u5dee\u3002<\/p>\n\n\n\n<ol class=\"wp-block-list\">\n<li>\u5e94\u5728CAS\u57fa\u7840\u4e0a\uff0c\u7ed3\u5408\u773c\u7736MRI\u68c0\u67e5\u7ed3\u679c\u8f85\u52a9\u8fdb\u884c\u5206\u671f\u3002\u773c\u7736MRI\u68c0\u67e5\u663e\u793a\u773c\u5916\u808cT2\u52a0\u6743\u50cf\uff08T2WI\uff09\u76f8\u8f83\u4e8e\u540c\u4fa7\u989e\u808c\u6216\u8111\u767d\u8d28\u5448\u9ad8\u4fe1\u53f7\uff0c\u63d0\u793a\u4e3a\u6d3b\u52a8\u671f\uff1b\u663e\u793a\u4fe1\u53f7\u5f3a\u5ea6\u4e0d\u589e\u9ad8\u6216\u964d\u4f4e\uff0c\u63d0\u793a\u4e3a\u975e\u6d3b\u52a8\u671f\u3002\u8fd8\u53ef\u5c06\u53cc\u773c\u773c\u5916\u808c\u8fdb\u884c\u6bd4\u8f83\uff0c\u4e00\u4fa7\u773c\u8f83\u53e6\u4e00\u4fa7\u773c\u4fe1\u53f7\u5f3a\u5ea6\u589e\u9ad8\uff0c\u5219\u9ad8\u4fe1\u53f7\u773c\u63d0\u793a\u4e3a\u6d3b\u52a8\u671f\u3002\u82e5\u6cea\u817a\u589e\u5927\u4f34\u4fe1\u53f7\u5f3a\u5ea6\u589e\u9ad8\uff0c\u4e5f\u63d0\u793a\u5b58\u5728\u6d3b\u52a8\u671f\u53ef\u80fd\u3002\u6b64\u5916\uff0c\u591a\u6a21\u6001 MRI \u7684\u591a\u79cd\u5b9a\u91cf\u53c2\u6570\u5728 TED \u5206\u671f\u4e2d\u4e5f\u5177\u6709\u4e34\u5e8a\u4ef7\u503c\u3002\u9664\u4e86\u773c\u7736MRI\uff0c<sup>99m<\/sup>Tc\u2011\u4e8c\u4e59\u70ef\u4e09\u80fa\u4e94\u4e59\u9178\u773c\u7736\u5355\u5149\u5b50\u53d1\u5c04CT\/CT\u4e5f\u53ef\u63d0\u793aTED\u7684\u773c\u7736\u708e\u6027\u53cd\u5e94\u72b6\u6001\u3002<\/li>\n<\/ol>\n\n\n\n<figure class=\"wp-block-image aligncenter size-full is-resized\"><img loading=\"lazy\" decoding=\"async\" width=\"434\" height=\"279\" src=\"https:\/\/www.millibuff.com\/wp-content\/uploads\/2026\/11\/image-5.png\" alt=\"\" class=\"wp-image-2287\" style=\"width:501px;height:auto\" srcset=\"https:\/\/www.millibuff.com\/wp-content\/uploads\/2026\/11\/image-5.png 434w, https:\/\/www.millibuff.com\/wp-content\/uploads\/2026\/11\/image-5-300x193.png 300w\" sizes=\"(max-width: 434px) 100vw, 434px\" \/><\/figure>\n\n\n\n<p class=\"wp-block-paragraph\">\u56fe5\uff1a\u7532\u72b6\u817a\u773c\u75c5MRI\u68c0\u67e5\u7ed3\u679c\u3002:\u51a0\u72b6\u9762T1\u5bf9\u6bd4\u589e\u5f3aMRI\u5e8f\u5217\u663e\u793a\u53cc\u4fa7\u773c\u5916\u808c\u589e\u5927\uff0c\u540c\u65f6\u5916\u76f4\u808c\u672a\u53d7\u5f71\u54cd\uff08\u7bad\u5934\u6240\u793a\uff09<sup>[9]<\/sup>\u3002<\/p>\n\n\n\n<figure class=\"wp-block-image aligncenter size-full is-resized\"><img loading=\"lazy\" decoding=\"async\" width=\"556\" height=\"158\" src=\"https:\/\/www.millibuff.com\/wp-content\/uploads\/2026\/11\/image-6.png\" alt=\"\" class=\"wp-image-2288\" style=\"aspect-ratio:3.519310839913855;width:691px;height:auto\" srcset=\"https:\/\/www.millibuff.com\/wp-content\/uploads\/2026\/11\/image-6.png 556w, https:\/\/www.millibuff.com\/wp-content\/uploads\/2026\/11\/image-6-300x85.png 300w\" sizes=\"(max-width: 556px) 100vw, 556px\" \/><\/figure>\n\n\n\n<p class=\"wp-block-paragraph\">\u56fe6\uff1a\u8ba1\u7b97\u673a\u65ad\u5c42\u626b\u63cf\u663e\u793a\u7532\u72b6\u817a\u773c\u75c5\u4e2d\u773c\u5916\u808c\u80a5\u5927\u3002\u8f74\u4f4d (a,b) \u548c\u51a0\u72b6\u4f4d (c) \u7684 CT \u56fe\u50cf\u663e\u793a\u53cc\u4fa7\u4e0a\u76f4\u808c (\u9ec4\u8272\u7bad\u5934)\u3001\u5185\u76f4\u808c (\u7ea2\u8272\u7bad\u5934) \u548c\u4e0b\u76f4\u808c (\u7eff\u8272\u7bad\u5934) \u80a5\u5927<sup>[4]<\/sup>\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>2.TED\u7684\u5206\u7ea7<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">TED\u4e34\u5e8a\u8868\u73b0\u590d\u6742\u591a\u6837\uff0c\u8f7b\u8005\u53ef\u65e0\u4e3b\u89c2\u75c7\u72b6\uff0c\u91cd\u8005\u53ef\u4e25\u91cd\u635f\u4f24\u89c6\u529f\u80fd\uff0c\u5f71\u54cd\u65e5\u5e38\u751f\u6d3b\uff0c\u751a\u81f3\u9020\u6210\u89d2\u819c\u6e83\u75a1\u3001\u7a7f\u5b54\u548c\u5931\u660e\u3002\u56e0\u6b64\uff0c<strong>\u4e34\u5e8a\u9700\u8981\u6839\u636e T<\/strong><strong>ED<\/strong><strong>\u7684\u75be\u75c5\u7a0b\u5ea6\uff0c\u9009\u62e9\u5408\u7406\u3001\u6709\u6548\u7684\u6cbb\u7597\u65b9\u6848\u3002<\/strong>\u76ee\u524d\u4e34\u5e8a\u4f7f\u7528\u7684 TED \u75be\u75c5\u7a0b\u5ea6\u5206\u7ea7\u65b9\u6cd5\u4e3b\u8981\u5305\u62ec\u6b27\u6d32Graves \u773c \u75c5 \u4e13 \u5bb6 \u7ec4\uff08European Group on Graves\u2032Orbitopathy\uff0cEUGOGO\uff09\u5206\u7ea7\u548c\u7f8e\u56fd\u7532\u72b6\u817a\u5b66\u4f1a\u7684NOSPECS \u5206\u7ea7\uff0c\u5747\u53ef\u4f5c\u4e3a\u4e34\u5e8a\u5236\u5b9a\u6cbb\u7597\u65b9\u6848\u7684\u53c2\u8003\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>\uff08\u4e00\uff09EUGOGO\u5206\u7ea7<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">2016\u5e74EUGOGO\u63d0\u51fa\u4e86TAO\u75be\u75c5\u7a0b\u5ea6\u5206\u7ea7\u6807\u51c6\uff0c\u4e3b\u8981\u4f9d\u636e\u4e34\u5e8a\u75c7\u72b6\uff0c\u5305\u62ec\u773c\u7751\u9000\u7f29\u3001\u773c\u7403\u7a81\u51fa\u3001\u590d\u89c6\u3001\u89c6\u795e\u7ecf\u53d7\u538b\u8feb\u8868\u73b0\u53ca\u89d2\u819c\u66b4\u9732\u6027\u75c5\u53d8\u7b49\uff0c\u5206\u4e3a\u8f7b\u5ea6\u3001\u4e2d\u91cd\u5ea6\u548c\u6781\u91cd\u5ea6 3 \u7ea7\uff08\u8868 2\uff09\u30022021 \u5e74\u4fee\u8ba2\u540e\u7684\u5206\u7ea7\u6807\u51c6\u7eb3\u5165\u4e86\u751f\u6d3b\u8d28\u91cf\u8bc4\u5206\uff08\u56fe7\uff09\uff0c\u6709\u52a9\u4e8e\u5168\u9762\u8bc4\u4f30\u548c\u5236\u5b9a\u8bca\u7597\u65b9\u6848\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u88682\uff1a\u7532\u72b6\u817a\u76f8\u5173\u773c\u75c5\u7a0b\u5ea6\u6b27\u6d32Graves\u773c\u75c5\u4e13\u5bb6\u7ec4\uff08EUGOGO\uff09\u5206\u7ea7<\/p>\n\n\n\n<figure class=\"wp-block-image aligncenter size-full is-resized\"><img loading=\"lazy\" decoding=\"async\" width=\"569\" height=\"344\" src=\"https:\/\/www.millibuff.com\/wp-content\/uploads\/2026\/11\/d277731a33ee194c7fff174bc737c850.png\" alt=\"\" class=\"wp-image-2290\" style=\"width:683px;height:auto\" srcset=\"https:\/\/www.millibuff.com\/wp-content\/uploads\/2026\/11\/d277731a33ee194c7fff174bc737c850.png 569w, https:\/\/www.millibuff.com\/wp-content\/uploads\/2026\/11\/d277731a33ee194c7fff174bc737c850-300x181.png 300w\" sizes=\"(max-width: 569px) 100vw, 569px\" \/><\/figure>\n\n\n\n<figure class=\"wp-block-image aligncenter size-full is-resized\"><img loading=\"lazy\" decoding=\"async\" width=\"555\" height=\"361\" src=\"https:\/\/www.millibuff.com\/wp-content\/uploads\/2026\/11\/image-7.png\" alt=\"\" class=\"wp-image-2289\" style=\"width:691px;height:auto\" srcset=\"https:\/\/www.millibuff.com\/wp-content\/uploads\/2026\/11\/image-7.png 555w, https:\/\/www.millibuff.com\/wp-content\/uploads\/2026\/11\/image-7-300x195.png 300w\" sizes=\"(max-width: 555px) 100vw, 555px\" \/><\/figure>\n\n\n\n<p class=\"has-text-align-center wp-block-paragraph\">\u56fe7\uff1a\u7532\u72b6\u817a\u76f8\u5173\u773c\u75c5\u7684\u751f\u6d3b\u8d28\u91cf\u8bc4\u5206\u8868<sup>[5]<\/sup>\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">EUGOGO\u5206\u7ea7\u7b80\u660e\u627c\u8981\uff0c\u91c7\u7528\u7684\u4e3b\u8981\u5206\u7ea7\u6807\u51c6\u68c0\u6d4b\u7b80\u4fbf\uff0c\u6613\u4e8e\u4e34\u5e8a\u5e94\u7528\u548c\u63a8\u5e7f\u3002EUGOGO\u5206\u7ea7<strong>\u5bf9\u89c6\u795e\u7ecf\u53d7\u7d2f\u548c\u89d2\u819c\u6e83\u75a1\u7b49\u4e25\u91cd\u4f53\u5f81\u7ed9\u4e88\u8db3\u591f\u91cd\u89c6<\/strong>\uff0c\u4fbf\u4e8e\u4e34\u5e8a\u53ca\u65f6\u8bca\u65ad\u548c\u91c7\u53d6\u7d27\u6025\u63aa\u65bd\u62a2\u6551\u89c6\u529f\u80fd\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\uff08\u4e8c\uff09NOSPECS\u5206\u7ea7<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Werner\u4e8e 1969\u5e74\u5728\u7f8e\u56fd\u7532\u72b6\u817a\u5b66\u4f1a\u4f1a\u8bae\u4e0a\u63d0\u51fa NOSPECS \u5206\u7ea7\uff0c1977 \u5e74\u53c8\u8fdb\u884c\u6539\u8fdb\u3002\u9488\u5bf9\u4e34\u5e8a\u7279\u5f81\u53ca\u5176\u7a0b\u5ea6\uff0c\u5c06 TED \u5206\u4e3a 7 \u7ea7\uff0c\u5176\u4e2d 0 \u7ea7\u4e3a\u6b63\u5e38\u773c\uff0c1 \u7ea7\u773c\u90e8\u4f53\u5f81\u4e3a\u4ea4\u611f\u795e\u7ecf\u5174\u594b\u6240\u81f4\uff0c\u4e0d\u5c5e\u4e8eTED\uff1b2~6 \u7ea7\u773c\u90e8\u53d7\u7d2f\u8868\u73b0\u8f83\u4e3a\u4e25\u91cd\uff0c\u5c5e\u4e8e TED\uff1b\u6839\u636e\u4e34\u5e8a\u8868\u73b0\u7a0b\u5ea6\u7531\u8f7b\u5230\u91cd\uff0cTED \u6bcf\u4e2a\u5206\u7ea7\u53c8\u5206\u4e3a0\u3001a\u3001b\u3001c \u51714\u4e2a\u5206\u5ea6\uff08\u88683\uff09\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u88683\uff1a\u7532\u72b6\u817a\u76f8\u5173\u773c\u75c5\u7a0b\u5ea6NOSPECS\u5206\u7ea7<\/p>\n\n\n\n<figure class=\"wp-block-image aligncenter size-full is-resized\"><img loading=\"lazy\" decoding=\"async\" width=\"456\" height=\"419\" src=\"https:\/\/www.millibuff.com\/wp-content\/uploads\/2026\/11\/f06abcf349e55e90ea6b1552e29f7c26.png\" alt=\"\" class=\"wp-image-2291\" style=\"width:725px;height:auto\" srcset=\"https:\/\/www.millibuff.com\/wp-content\/uploads\/2026\/11\/f06abcf349e55e90ea6b1552e29f7c26.png 456w, https:\/\/www.millibuff.com\/wp-content\/uploads\/2026\/11\/f06abcf349e55e90ea6b1552e29f7c26-300x276.png 300w\" sizes=\"(max-width: 456px) 100vw, 456px\" \/><\/figure>\n\n\n\n<p class=\"wp-block-paragraph\">\u6ce8\uff1a0\u3001a\u3001b\u3001c\u793a4\u4e2a\u5206\u5ea6\uff1ba\u793a\u56fd\u9645\u6807\u51c6\u89c6\u529b\u8868\u68c0\u67e5\u7ed3\u679c\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">NOSPECS\u5206\u7ea7\u4e3b\u8981\u6839\u636eTED\u75c5\u7a0b\u53d1\u5c55\u7684\u4e0d\u540c\u9636\u6bb5\u53ef\u80fd\u7d2f\u53ca\u773c\u90e8\u7684\u4e0d\u540c\u7ec4\u7ec7\u6765\u786e\u5b9a\uff0c\u5e76\u8be6\u7ec6\u533a\u5206\u75c5\u53d8\u7684\u7a0b\u5ea6\uff0c\u6709\u52a9\u4e8e\u9488\u5bf9\u6027\u5236\u5b9a\u6cbb\u7597\u65b9\u6848\uff0c\u5bf9\u4e8e\u9884\u540e\u8bc4\u4f30\u4e5f\u5177\u6709\u91cd\u8981\u610f\u4e49\u3002<strong>\u4f7f\u7528\u65f6\u987b\u6ce8\u610f\uff0c\u90e8\u5206 T<\/strong><strong>ED<\/strong><strong> \u60a3\u8005\u7684\u75c5\u7a0b\u5e76\u975e\u6309\u7167 NOSPECS \u5206\u7ea7\u4e2d\u7684\u987a\u5e8f\u9010\u7ea7\u53d1\u5c55\uff0c\u800c\u662f\u5448\u8df3\u8dc3\u5f0f\u3002<\/strong>\u5e94\u9488\u5bf9 TED \u60a3\u8005\u7684\u4e2a\u4f53\u60c5\u51b5\uff0c\u5206\u6790\u75c5\u60c5\u7684\u7a0b\u5ea6\u548c\u6d3b\u52a8\u6027\uff0c\u91c7\u7528\u7efc\u5408\u6cbb\u7597\u63aa\u65bd\u3002<\/p>\n\n\n\n<h5 class=\"wp-block-heading\"><strong>\u672c\u7bc7\u5c0f\u7ed3<\/strong><\/h5>\n\n\n\n<p class=\"wp-block-paragraph\">\u7532\u72b6\u817a\u773c\u75c5\uff08TED\uff09\u4e0d\u53ea\u662f\u7532\u4ea2\u9644\u5e26\u7684 \u201c\u7a81\u773c\u201d\uff0c\u662f\u72ec\u7acb\u7684\u81ea\u8eab\u514d\u75ab\u773c\u7736\u75be\u75c5\u3002<\/p>\n\n\n\n<ol class=\"wp-block-list\">\n<li>\u75be\u75c5\u6709\u660e\u786e\u7684\u6d3b\u52a8\u671f-\u6162\u6027\u671f\u75c5\u7a0b\uff0c<strong>\u6d3b\u52a8\u671f\u662f\u836f\u7269\u5e72\u9884\u9ec4\u91d1\u7a97\u53e3<\/strong>\uff1b<\/li>\n\n\n\n<li>\u5438\u70df\u3001TRAb \u9ad8\u6ef4\u5ea6\u3001\u7532\u72b6\u817a\u529f\u80fd\u53cd\u590d\u6ce2\u52a8\u662f\u53ef\u5e72\u9884\u7684\u9ad8\u5371\u56e0\u7d20\uff1b<\/li>\n\n\n\n<li>CAS \u8bc4\u5206\u7528\u6765\u5224\u65ad\u708e\u75c7\u6d3b\u52a8\uff0cEUGOGO\u5206\u7ea7\u548cNOSPECS\u5206\u7ea7\u8bc4\u4f30\u75be\u75c5\u4e25\u91cd\u7a0b\u5ea6\uff1b<\/li>\n\n\n\n<li>\u90e8\u5206\u60a3\u8005\u7532\u529f\u6b63\u5e38\u4e5f\u53ef\u53d1\u75c5\uff0c\u9700\u8981\u7ed3\u5408\u6297\u4f53\u3001\u773c\u7736\u5f71\u50cf\u5b66\u660e\u786e\u8bca\u65ad\u3002<\/li>\n<\/ol>\n\n\n\n<p class=\"wp-block-paragraph\">\u4e0b\u4e00\u7bc7\uff0c\u6211\u4eec\u5c06\u4ecb\u7ecd TED \u6cbb\u7597\u624b\u6bb5\u3001\u5168\u75c5\u7a0b\u75be\u75c5\u7ba1\u7406\u3002<\/p>\n\n\n\n<h5 class=\"wp-block-heading\"><strong>\u53c2\u8003\u6587\u732e<\/strong><\/h5>\n\n\n\n<ol class=\"wp-block-list\">\n<li>\u5168\u56fd\u7532\u72b6\u817a\u75be\u75c5\u8054\u76df,\u674e\u7389\u59dd.\u7532\u72b6\u817a\u773c\u75c5\u89c4\u8303\u5316\u8bca\u7597\u4e2d\u5fc3\u5efa\u8bbe\u4e13\u5bb6\u6307\u5bfc\u610f\u89c1\uff082026\u5e74\uff09[J].\u4e2d\u56fd\u5b9e\u7528\u5185\u79d1\u6742\u5fd7, 2026, 46(8): 674-684. DOI: 10.19538\/j.nk2026080109.<\/li>\n\n\n\n<li>Shah S S, Patel B C. Thyroid Eye Disease[EB\/OL]. StatPearls,2025\u201103. https:\/\/www.ncbi.nlm.nih.gov\/books\/NBK582134\/.<\/li>\n\n\n\n<li>Hutchings KR, Fritzhand SJ, Esmaeli B, Koka K, Zhao J, Ahmed S, Debnam JM. Graves&#8217; Eye Disease: Clinical and Radiological Diagnosis. Biomedicines. 2023 Jan 22;11(2):312. doi: 10.3390\/biomedicines11020312. PMID: 36830848; PMCID: PMC9953404.<\/li>\n\n\n\n<li>Kulbay M, Tanya SM, Tuli N, Dahoud J, Dahoud A, Alsaleh F, Arthurs B, El-Hadad C. A Comprehensive Review of Thyroid Eye Disease Pathogenesis: From Immune Dysregulations to Novel Diagnostic and Therapeutic Approaches. Int J Mol Sci. 2024 Oct 29;25(21):11628. doi: 10.3390\/ijms252111628. PMID: 39519180; PMCID: PMC11546489.<\/li>\n\n\n\n<li>\u4e2d\u534e\u533b\u5b66\u4f1a\u773c\u79d1\u5b66\u5206\u4f1a\u773c\u6574\u5f62\u773c\u7736\u75c5\u5b66\u7ec4,\u4e2d\u534e\u533b\u5b66\u4f1a\u5185\u5206\u6ccc\u5b66\u5206\u4f1a\u7532\u72b6\u817a\u5b66\u7ec4.\u4e2d\u56fd\u7532\u72b6\u817a\u76f8\u5173\u773c\u75c5\u8bca\u65ad\u548c\u6cbb\u7597\u6307\u5357(2022\u5e74)[J].\u4e2d\u534e\u773c\u79d1\u6742\u5fd7,\u00a02022,58(9):\u00a0646-668.DOI:10.3760\/cma.j.cn112142-20220421-00201.<\/li>\n\n\n\n<li>\u54c8\u65af\u8036\u63d0\u7f55\u00b7\u6770\u529b\u529b,\u5f20\u6d01.Graves\u773c\u75c5\u76f8\u5173\u5371\u9669\u56e0\u7d20\u7efc\u8ff0[J].\u65b0\u7586\u533b\u5b66,2024,54(8):994-998.DOI:10.27023\/j.cnki.1001-5183.2024.08.028.<\/li>\n\n\n\n<li>Gontarz-Nowak K, Szychli\u0144ska M, Matuszewski W, Stefanowicz-Rutkowska M, Bandurska-Stankiewicz E. Current Knowledge on Graves&#8217; Orbitopathy. J Clin Med. 2020 Dec 23;10(1):16. doi: 10.3390\/jcm10010016. PMID: 33374706; PMCID: PMC7793490.<\/li>\n\n\n\n<li>\u96f7\u8d85\u5b87\uff0c\u738b\u6167\uff0c\u5b59\u9759\uff0c\u5468\u6167\u82b3\u3002\u5173\u6ce8\u9002\u5408\u4e2d\u56fd\u4eba\u7fa4\u7684\u7532\u72b6\u817a\u773c\u75c5\u4e34\u5e8a\u6d3b\u52a8\u6027\u8bc4\u5206\u65b9\u6cd5 [J]. \u4e2d\u534e\u5b9e\u9a8c\u773c\u79d1\u6742\u5fd7\uff0c2024,42 (11):977-982.DOI:10.3760\/cma.j.cn115989-20240418-00112<\/li>\n\n\n\n<li>Hutchings KR, Fritzhand SJ, Esmaeli B, Koka K, Zhao J, Ahmed S, Debnam JM. Graves&#8217; Eye Disease: Clinical and Radiological Diagnosis. Biomedicines. 2023 Jan 22;11(2):312. doi: 10.3390\/biomedicines11020312. 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