自身免疫性胰腺炎的临床特点综述
发布时间:2021-08-02 18:30
自身免疫性胰腺炎(Autoimmune Pancreatitis,AIP)是一种与自身免疫相关的慢性胰腺炎,分为2种亚型:1型AIP又叫淋巴浆细胞性硬化性胰腺炎(Lymphoplasmacytic sclerosing pancreatitis,LPSP),以胰腺组织免疫球蛋白G4(Immune globulin G4,Ig G4)阳性细胞浸润、血清Ig G4明显升高为特点,被认为是Ig G4相关疾病(Ig G4-related disease,Ig G4-RD)在胰腺的表现;2型AIP又叫特发性导管中心性胰腺炎(Idiopathic duct-centric pancreatitis,IDCP),与Ig G4无明显相关性,以胰腺导管上皮的粒细胞性破坏为特征,是一种胰腺特异性疾病,约30%的2型AIP伴发炎症性肠病。AIP发病机制尚不完全明确,诊断标准不统一,治疗以专家共识为主,缺乏高质量证据。本文拟从自身免疫性胰腺炎的病因、发病机制、辅助检查、诊断、治疗和预后等方面的研究进展做一综述。
【文章来源】:重庆医科大学重庆市
【文章页数】:37 页
【学位级别】:硕士
【部分图文】:
国际共识AIP诊断流程
【参考文献】:
期刊论文
[1]IgG4相关性硬化性胆管炎误诊为胆管癌2例病例分析及文献复习[J]. 孙江阳,孔晓宇,肖朝文,蔡常春,郑小林. 肝胆胰外科杂志. 2019(03)
[2]原发性硬化性胆管炎诊断和治疗专家共识(2015)[J]. Chinese Society of Hepatology,Chinese Medical Association;Chinese Society of Gastroenterology,Chinese Medical Association;Chinese Society of Infectious Diseases,Chinese Medical Association;. 临床肝胆病杂志. 2016(01)
[3]Focal autoimmune pancreatitis: Radiological characteristics help to distinguish from pancreatic cancer[J]. Gao-Feng Sun,Chang-Jing Zuo,Cheng-Wei Shao,Jian-Hua Wang,Jian Zhang. World Journal of Gastroenterology. 2013(23)
[4]Differences between diffuse and focal autoimmune pancreatitis[J]. Taku Tabata,Terumi Kamisawa,Kensuke Takuma,Seiichi Hara,Sawako Kuruma,Yoshihiko Inaba. World Journal of Gastroenterology. 2012(17)
本文编号:3318061
【文章来源】:重庆医科大学重庆市
【文章页数】:37 页
【学位级别】:硕士
【部分图文】:
国际共识AIP诊断流程
【参考文献】:
期刊论文
[1]IgG4相关性硬化性胆管炎误诊为胆管癌2例病例分析及文献复习[J]. 孙江阳,孔晓宇,肖朝文,蔡常春,郑小林. 肝胆胰外科杂志. 2019(03)
[2]原发性硬化性胆管炎诊断和治疗专家共识(2015)[J]. Chinese Society of Hepatology,Chinese Medical Association;Chinese Society of Gastroenterology,Chinese Medical Association;Chinese Society of Infectious Diseases,Chinese Medical Association;. 临床肝胆病杂志. 2016(01)
[3]Focal autoimmune pancreatitis: Radiological characteristics help to distinguish from pancreatic cancer[J]. Gao-Feng Sun,Chang-Jing Zuo,Cheng-Wei Shao,Jian-Hua Wang,Jian Zhang. World Journal of Gastroenterology. 2013(23)
[4]Differences between diffuse and focal autoimmune pancreatitis[J]. Taku Tabata,Terumi Kamisawa,Kensuke Takuma,Seiichi Hara,Sawako Kuruma,Yoshihiko Inaba. World Journal of Gastroenterology. 2012(17)
本文编号:3318061
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