自身免疫性胰腺炎的CT表現特征（附4例分析）_《中國普外基礎與臨床雜志》

作者：

徐雋 ¹ , 宋彬 ² , 吳苾 ² , 楊洋 ² , 李迎春 ²

1.四川省第四人民醫院放射科（成都610016）;;
2.四川大學華西醫院放射科（成都610041）;

關鍵詞：

胰腺炎體層攝影術/X線計算機

視頻：

導出 下載 收藏 掃碼 引用

摘要 全文 圖表 視頻 參考文獻 施引文獻 補充材料

目的　探討自身免疫性胰腺炎（AIP）的CT表現特征。
方法　收集4例經臨床、實驗室檢查和類固醇激素治療有效的AIP患者的CT 資料。CT檢查包括平掃、雙期（動脈期和門靜脈期）增強掃描,在CT圖像上觀察胰腺的形態、大小、質地、強化程度、胰管、胰腺邊緣、胰周及腹膜后各間隙等情況并分析AIP的CT表現特征。
結果　3例AIP表現為胰腺彌漫性腫大，1例為胰頭的局限性腫大；病變區域胰腺實質在動脈期強化減弱但出現明顯的延時強化； 2例在胰腺病變區周圍環繞包膜樣結構； 2例伴膽總管胰頭段狹窄，1例ERCP顯示胰管不規則狹窄；經類固醇激素治療后，CT復查顯示胰腺情況明顯好轉。
結論　AIP的CT表現具有一定的特征性。

引用本文： 徐雋,宋彬,吳苾,楊洋,李迎春. 自身免疫性胰腺炎的CT表現特征（附4例分析）. 中國普外基礎與臨床雜志, 2007, 14(1): 104-107. doi: 復制

1.	Okazaki K, Uchida K, Matsushita M, et al. Autoimmune pancreatitis [J]. Intern Med， 2005; 44(12)∶1215.
2.	Sahani DV, Kalva SP, Farrell J, et al. Autoimmune pancreatitis: imaging features [J]. Radiology， 2004; 233(2)∶345.
3.	Sarles H, Sarles JC, Muratore R, et al. Chronic inflammatory sclerosis of the pancreas——an autonomous pancreatic disease? [J]. Am J Dig Dis， 1961; 6∶688.
4.	Yoshida K, Toki F, Takeuchi T, et al. Chronic pancreatitis ca-used by an autoimmune abnormality. Proposal of the concept of autoimmune pancreatitis [J]. Dig Dis Sci， 1995; 40(7)∶1561.
5.	Wakabayashi T, Kawaura Y, Satomura Y, et al. Clinical and imaging features of autoimmune pancreatitis with focal pancreatic swelling or mass formation: comparison with so-called tumor-forming pancreatitis and pancreatic carcinoma [J]. Am J Gastroenterol， 2003; 98(12)∶2679.
6.	Eerens I, Vanbeckevoort D, Vansteenbergen W, et al. Autoimmune pancreatitis associated with primary sclerosing cholangitis: MR imaging findings [J]. Eur Radiol， 2001; 11(8)∶1401.
7.	Furukawa N, Muranaka T, Yasumori K, et al. Autoimmune pancreatitis: radiologic findings in three histologically proven cases [J]. J Comput Assist Tomogr， 1998; 22(6)∶880.
8.	Procacci C, Carbognin G, Biasiutti C, et al. Autoimmune pancreatitis: possibilities of CT characterization [J]. Pancreatology， 2001; 1(3)∶246.
9.	Horiuchi A, Kawa S, Hamano H, et al. ERCP features in 27 patients with autoimmune pancreatitis [J]. Gastrointest Endosc， 2002; 55(4)∶494.
10.	Horiuchi A, Kawa S, Akamatsu T, et al. Characteristic pancreatic duct appearance in autoimmune chronic pancreatitis: a case report and review of the Japanese literature [J]. Am J Gastroenterol， 1998; 93(2)∶260.
11.	Irie H, Honda H, Baba S, et al. Autoimmune pancreatitis: CT and MR characteristics [J]. AJR Am J Roentgenol， 1998; 170(5)∶1323.

1. 　Okazaki K, Uchida K, Matsushita M, et al. Autoimmune pancreatitis [J]. Intern Med， 2005; 44(12)∶1215.
2. 　Sahani DV, Kalva SP, Farrell J, et al. Autoimmune pancreatitis: imaging features [J]. Radiology， 2004; 233(2)∶345.
3. 　Sarles H, Sarles JC, Muratore R, et al. Chronic inflammatory sclerosis of the pancreas——an autonomous pancreatic disease? [J]. Am J Dig Dis， 1961; 6∶688.
4. 　Yoshida K, Toki F, Takeuchi T, et al. Chronic pancreatitis ca-used by an autoimmune abnormality. Proposal of the concept of autoimmune pancreatitis [J]. Dig Dis Sci， 1995; 40(7)∶1561.
5. 　Wakabayashi T, Kawaura Y, Satomura Y, et al. Clinical and imaging features of autoimmune pancreatitis with focal pancreatic swelling or mass formation: comparison with so-called tumor-forming pancreatitis and pancreatic carcinoma [J]. Am J Gastroenterol， 2003; 98(12)∶2679.
6. 　Eerens I, Vanbeckevoort D, Vansteenbergen W, et al. Autoimmune pancreatitis associated with primary sclerosing cholangitis: MR imaging findings [J]. Eur Radiol， 2001; 11(8)∶1401.
7. 　Furukawa N, Muranaka T, Yasumori K, et al. Autoimmune pancreatitis: radiologic findings in three histologically proven cases [J]. J Comput Assist Tomogr， 1998; 22(6)∶880.
8. 　Procacci C, Carbognin G, Biasiutti C, et al. Autoimmune pancreatitis: possibilities of CT characterization [J]. Pancreatology， 2001; 1(3)∶246.
9. 　Horiuchi A, Kawa S, Hamano H, et al. ERCP features in 27 patients with autoimmune pancreatitis [J]. Gastrointest Endosc， 2002; 55(4)∶494.
10. 　Horiuchi A, Kawa S, Akamatsu T, et al. Characteristic pancreatic duct appearance in autoimmune chronic pancreatitis: a case report and review of the Japanese literature [J]. Am J Gastroenterol， 1998; 93(2)∶260.
11. 　Irie H, Honda H, Baba S, et al. Autoimmune pancreatitis: CT and MR characteristics [J]. AJR Am J Roentgenol， 1998; 170(5)∶1323.

《中國普外基礎與臨床雜志》

自身免疫性胰腺炎的CT表現特征（附4例分析）

摘要 全文 圖表 視頻 參考文獻 施引文獻 補充材料

Format

Content

《中國普外基礎與臨床雜志》

自身免疫性胰腺炎的CT表現特征（附4例分析）

摘要 全文 圖表 視頻 參考文獻 施引文獻 補充材料

Format

Content

摘要全文圖表視頻參考文獻施引文獻補充材料