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自身免疫性胰腺炎的影像学诊断
Imaging diagnosis of autoimmune pancreatitis
文章发布日期:2018年07月06日  来源:  作者:缪飞,陈芳莹  点击次数:424次  下载次数:83次

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【摘要】:自身免疫性胰腺炎(AIP)是一种与自身免疫介导有关的特殊类型胰腺炎性疾病,临床上常表现为梗阻性黄疸,类固醇激素治疗效果好。目前AIP分为2种亚型,1型和2型。AIP典型影像学表现为胰胰弥漫性或局限性肿大,前者呈“腊肠征”改变。AIP的影像学检查方法各有优缺点,主要包括超声、经内镜逆行胰胆管造影、超声内镜、CT、MRI、PET-CT、PET-MR,均可有助于诊断及鉴别诊断,还可用于临床疗效的监测、随访。
【Abstract】:Autoimmune pancreatitis (AIP) is a special autoimmune-mediated pancreatitis with the clinical manifestation of obstructive jaundice, and it often has good response to steroids. At present, AIP is classified into type 1 and type 2. The imaging findings of AIP include diffuse or localized pancreatic parenchymal enlargement, and the former is also called the “sausage-shaped” appearance. Imaging examinations of AIP have their own advantages and disadvantages. Ultrasound, endoscopic retrograde cholangiopancreatography, endoscopic ultrasound, computed tomography, magnetic resonance imaging, PET-CT, and PET-MR help with diagnosis and differential diagnosis and can be used for the monitoring and follow-up of clinical outcomes.
【关键字】:胰腺炎; 自身免疫疾病; 超声检查; 体层摄影术, X线计算机; 磁共振成像; 诊断
【Key words】:pancreatitis; autoimmune disease; ultrasonography; tomography, X-ray computed; magnetic resonance imaging; diagnosis
【引证本文】:MIAO F, CHEN FY. Imaging diagnosis of autoimmune pancreatitis[J]. J Clin Hepatol, 2018, 34(8): 1604-1608. (in Chinese)
缪飞, 陈芳莹. 自身免疫性胰腺炎的影像学诊断[J]. 临床肝胆病杂志, 2018, 34(8): 1604-1608.

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