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首页> 外文期刊>World Journal of Gastroenterology >Involvement of pancreatic and bile ducts in autoimmune pancreatitis.
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Involvement of pancreatic and bile ducts in autoimmune pancreatitis.

机译：胰腺和胆管参与自身免疫性胰腺炎。

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摘要

AIM: To examine the involvement of the pancreatic and bile ducts in patients with autoimmune pancreatitis. METHODS: Clinical and cholangiopancreatographic findings of 28 patients with autoimmune pancreatitis were evaluated. For the purposes of this study, the pancreatic duct system was divided into three portions: the ventral pancreatic duct; the head portion of the dorsal pancreatic duct; and the body and tail of the dorsal pancreatic duct. RESULTS: Both the ventral and dorsal pancreatic ducts were involved in 24 patients, while in 4 patients only the dorsal pancreatic duct was involved. Marked stricture of the bile duct was detected in 20 patients and their initial symptom was obstructive jaundice. Six patients showed moderate stenosis to 30%-40% of the normal diameter, and the other two patients showed no stenosis of the bile duct. Although marked stricture of the bile duct was detected in 83% (20/24) of patients who showed narrowing of both the ventral and dorsal pancreatic ducts, it was not observed in the 4 patients who showed involvement of the dorsal pancreatic duct alone (P=0.0034). CONCLUSION: Both the ventral and dorsal pancreatic and bile ducts are involved in patients with autoimmune pancreatitis.
机译：目的：检查自身免疫性胰腺炎患者的胰管和胆管受累情况。方法：对28例自身免疫性胰腺炎患者的临床和胰胆管造影结果进行评估。为了本研究的目的，将胰管系统分为三部分：腹侧胰管；腹侧胰管。胰背管的头部；以及胰胰管的身体和尾巴。结果：24例患者均累及腹侧和背侧胰管，而4例仅累及背侧胰管。在20例患者中检测到明显的胆管狭窄，其最初症状是阻塞性黄疸。 6例显示中度狭窄至正常直径的30％-40％，另2例显示无胆管狭窄。尽管在83％（20/24）的腹侧和背侧胰管均变窄的患者中检测到胆管狭窄，但在仅显示背侧胰管受累的4例患者中未观察到胆管狭窄（P = 0.0034）。结论：自身免疫性胰腺炎患者的腹侧和背侧胰胆管均受累。

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