中华生物医学工程杂志
中華生物醫學工程雜誌
중화생물의학공정잡지
CHINESE JOURNAL OF BIOMEDICAL ENGINEERING
2013年
2期
154-157
,共4页
赵超尘%岑钧华%王晓明%李君
趙超塵%岑鈞華%王曉明%李君
조초진%잠균화%왕효명%리군
免疫球蛋白G4%胰腺炎%胆管炎%诊断,鉴别
免疫毬蛋白G4%胰腺炎%膽管炎%診斷,鑒彆
면역구단백G4%이선염%담관염%진단,감별
Immunoglobulin G4%Pancreatitis%Cholangitis%Diagnosis,differential
目的 分析总结IgG4相关性硬化病的临床特点及诊治方案.方法 回顾性分析2010-2011年本院收治的2例IgG4相关性硬化病患者的临床资料,结合文献报道,总结该疾病的临床特点及诊疗要点.结果 2例患者术前诊断为胆管或胰腺恶性肿瘤,行胰十二指肠切除术后经病理检查确诊.本病发病率低,临床表现多样,影像学表现酷似恶性肿瘤,极易误诊,对激素治疗敏感,如能及时明确诊断则可避免不必要的手术.结论 IgG4相关性硬化病临床表现酷似恶性肿瘤,了解其临床特点有助于诊断疾病及正确选择治疗方案.
目的 分析總結IgG4相關性硬化病的臨床特點及診治方案.方法 迴顧性分析2010-2011年本院收治的2例IgG4相關性硬化病患者的臨床資料,結閤文獻報道,總結該疾病的臨床特點及診療要點.結果 2例患者術前診斷為膽管或胰腺噁性腫瘤,行胰十二指腸切除術後經病理檢查確診.本病髮病率低,臨床錶現多樣,影像學錶現酷似噁性腫瘤,極易誤診,對激素治療敏感,如能及時明確診斷則可避免不必要的手術.結論 IgG4相關性硬化病臨床錶現酷似噁性腫瘤,瞭解其臨床特點有助于診斷疾病及正確選擇治療方案.
목적 분석총결IgG4상관성경화병적림상특점급진치방안.방법 회고성분석2010-2011년본원수치적2례IgG4상관성경화병환자적림상자료,결합문헌보도,총결해질병적림상특점급진료요점.결과 2례환자술전진단위담관혹이선악성종류,행이십이지장절제술후경병리검사학진.본병발병솔저,림상표현다양,영상학표현혹사악성종류,겁역오진,대격소치료민감,여능급시명학진단칙가피면불필요적수술.결론 IgG4상관성경화병림상표현혹사악성종류,료해기림상특점유조우진단질병급정학선택치료방안.
Objective To summarize the clinical features and treatment protocols of immunoglobulin G4-associated sclerosing disease (ISD).Methods By literature review,the clinical profiles of two patients with ISD who were admitted to our hospital between 2010 and 2011 were retrospectively analyzed,and the clinical characteristics and the keys of diagnosis and treatment were summarized.Results The two cases were preoperatively susceptible of having malignant bile duct or pancreatic neoplasms and pathologically confirmed as ISD after pancreatojujenectomy.Characterized by a low incidence and various clinical manifestations,ISD may imageologically mimic malignant tumors leading to misdiagnosis.Treatment with steroids appeared effective and timely diagnosis could help to avoid unnecessary surgery.Conclusion Summarizing the clinical characteristics of ISD,a disease mimicking malignant tumors,may be helpful to the diagnosis and decision-making of treatment protocols.
