身免疫性肝病诊治现状.pptVIP

01040203Colchicine?Methotrexate?Budesonide?Livertransplantation++PoupanR.JHepatol2000;32(suppl2):19-20对UDCA无效的PBC的治疗OLTimprovessurvivals1yr83%5yr78%10yr67%Hepatology2001;33:22-7.(400cases)2yr79%vs55%7yr68%vs22%Transplantation2002;224-7(73cases)原发性硬化性胆管炎(PSC)GP200203LiverCommonbileductDuodenumObliterativefibrosisofbileducts原发性硬化性胆管炎典型病理改变PSC的ERCP改变Diffuseinflammationandfibrosisofextra-hepaticbileductswithandwithoutintra-hepaticbiliarydiseaseANCA:nonspecificAbsenceofbiliarycholelithiasisbiliarytracts