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(yī)院放射科（成都610016）;;
  • 2.四川大學(xué)華西醫(yī)院放射科（成都610041）;

目的 　探討自身免疫性胰腺炎（AIP）的CT表現(xiàn)特征。
方法 　收集4例經(jīng)臨床、實(shí)驗(yàn)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(dòng)脈期和門靜脈期）增強(qiáng)掃描,在CT圖像上觀察胰腺的形態(tài)、大小、質(zhì)地、強(qiáng)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(xiàn)特征。
結(jié)果 　3例AIP表現(xiàn)為胰腺彌漫性腫大，1例為胰頭的局限性腫大； 病變區(qū)域胰腺實(shí)質(zhì)在動(dòng)脈期強(qiáng)化減弱但出現(xiàn)明顯的延時(shí)強(qiáng)化； 2例在胰腺病變區(qū)周圍環(huán)繞包膜樣結(jié)構(gòu)； 2例伴膽總管胰頭段狹窄，1例ERCP顯示胰管不規(guī)則狹窄； 經(jīng)類固醇激素治療后，CT復(fù)查顯示胰腺情況明顯好轉(zhuǎn)。
結(jié)論 　AIP的CT表現(xiàn)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(xiàn)特征（附4例分析）. 中國普外基礎(chǔ)與臨床雜志, 2007, 14(1): 104-107. doi: 復(fù)制

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  1. 1. 　Okazaki K, Uchida K, Matsushita M, et al. Autoimmune pancreatitis [J]. Intern Med， 2005; 44(12)∶1215.
  2. 2. 　Sahani DV, Kalva SP, Farrell J, et al. Autoimmune pancreatitis: imaging features [J]. Radiology， 2004; 233(2)∶345.
  3. 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. 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. 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. 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. 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. 8. 　Procacci C, Carbognin G, Biasiutti C, et al. Autoimmune pancreatitis: possibilities of CT characterization [J]. Pancreatology， 2001; 1(3)∶246.
  9. 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. 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. 11. 　Irie H, Honda H, Baba S, et al. Autoimmune pancreatitis: CT and MR characteristics [J]. AJR Am J Roentgenol， 1998; 170(5)∶1323.