中国医学创新
中國醫學創新
중국의학창신
MEDICAL INNOVATION OF CHINA
2014年
25期
71-73,74
,共4页
自身免疫性胰腺炎%计算机断层成像%磁共振成像
自身免疫性胰腺炎%計算機斷層成像%磁共振成像
자신면역성이선염%계산궤단층성상%자공진성상
Autoimmune pancreatitis%CT%MRI
目的：研究自身免疫性胰腺炎（AIP）的影像学特征。方法：回顾性分析15例符合2008亚洲诊断标准的AIP患者的CT和MRI影像学资料，总结胰腺及胰腺外的影像学表现。结果：10例AIP表现为胰腺弥漫性增大，5例AIP表现为胰腺局部肿大。病灶区在T1WI上信号明显降低，在T2WI上信号轻度升高，15例均见渐进性延迟强化，3例见“鞘膜征”，9例AIP胆总管胰腺段的狭窄，3例ERCP均示胰管不规则狭窄，2例双肾多发节结影。结论：AIP具有一定特征性影像学表现；影像检查是诊断AIP的必要手段。
目的：研究自身免疫性胰腺炎（AIP）的影像學特徵。方法：迴顧性分析15例符閤2008亞洲診斷標準的AIP患者的CT和MRI影像學資料，總結胰腺及胰腺外的影像學錶現。結果：10例AIP錶現為胰腺瀰漫性增大，5例AIP錶現為胰腺跼部腫大。病竈區在T1WI上信號明顯降低，在T2WI上信號輕度升高，15例均見漸進性延遲彊化，3例見“鞘膜徵”，9例AIP膽總管胰腺段的狹窄，3例ERCP均示胰管不規則狹窄，2例雙腎多髮節結影。結論：AIP具有一定特徵性影像學錶現；影像檢查是診斷AIP的必要手段。
목적：연구자신면역성이선염（AIP）적영상학특정。방법：회고성분석15례부합2008아주진단표준적AIP환자적CT화MRI영상학자료，총결이선급이선외적영상학표현。결과：10례AIP표현위이선미만성증대，5례AIP표현위이선국부종대。병조구재T1WI상신호명현강저，재T2WI상신호경도승고，15례균견점진성연지강화，3례견“초막정”，9례AIP담총관이선단적협착，3례ERCP균시이관불규칙협착，2례쌍신다발절결영。결론：AIP구유일정특정성영상학표현；영상검사시진단AIP적필요수단。
Objective:To investigate the radiologic characteristics of autoimmune pancreatitis(AIP).Method: The radiological data of 15 AIP patients met the Asia diagnostic criteria of AIP in 2008 were retrospectively reviewed, the radiologic characteristics of extrapancreatic and intrapancreatic lesions was described.Result: CT and MRI showed diffuse swelling of the pancreas in 10 cases and focal enlargement in 5 cases. The swollen pancreas was hypointense on T1WI and mildly hyperintense on T2WI, 15 paitients appeared enhancement on delayed phase. A capsule-like rim was showed in 3 cases. Narrowing of the intrapancreatic portion of common bile duct were found in 9 cases, and ERCP showed diffuse and irregular narrowing of the main pancreatic duct in 3 cases. Low density nodular foci in double kidneys were seen in 2 cases. Conclusion: AIP has certain characteristics of typical imaging feature ,imaging examinations play an important roles in the diagnosis of AIP.
