中国实用外科杂志2011，Vol.31Issue(9)：812-815,4.
自身免疫性胰腺炎1例报告并国内文献复习
Diagnosisi and treatment of autoimmune pancreatitis:one case report and literature review in China
王科伟 1李昱骥 1孔凡民 1周建平 1黄明 1田雨霖1
作者信息
- 1. 中国医科大学附属第一医院普通外科教研室,胃肠外科,辽宁,沈阳,110001
- 折叠
摘要
Abstract
Objective this paper summarizes the clinical data of one hundred and eight patients to explore the methods of dianosis and treatment of the AIP. Methods There has been one AIP patient received and cured in our hospital in 2011,March. The auther searched other 107 paitents from literature documents from January of 2001 to December of 2010.And then this paper made analysis according to these 108 clinical expressions,laboratory examinations,image detection,the methods of treatment and the follow-up data. Results The clinical manifestations were obstructive jaundice in 80 patients,upper abdominal discomfort or pain in 50 patients, and asymptomatic in one patient. 86 patients checked CA19-9 and the results were positive in 38 cases, mostly for mildly elevated. 81 cases" Immunaglobulin (IgG) had been detected.and among them, 56 cases increased. The patients had CT findings of diffuse pancreatic enlargement in 54 cases,and local pancreatic enlargement in 54 cases .55 cases had accepted surgical treatment, 63 cases had accepted hormone therapy. In the 63 hormone-treated patients only 2 cases were ineffective, the other's clinical symptoms were eased. 7 cases were relapse, but they were remission after using hormone again. Conclusion AIP often occurs in middle-aged female.Its main clinical manifestations are obstructive jaundice and abdominal discomfort. IgG and globulin often increase/The imaging is charactered by the diffuse or local enlargement of pancrease. Hormone treatment is very effective.关键词
自身免疫/慢性胰腺炎/黄疸Key words
autoimmune/ chronic pancreatitis/ jaundice分类
医药卫生引用本文复制引用
王科伟,李昱骥,孔凡民,周建平,黄明,田雨霖..自身免疫性胰腺炎1例报告并国内文献复习[J].中国实用外科杂志,2011,31(9):812-815,4.
