移植胰腺病理学临床操作规范（2019版）

中华医学会器官移植学分会

doi:10.3969/j.issn.1674-7445.2019.06.002

移植胰腺病理学临床操作规范（2019版）

doi: 10.3969/j.issn.1674-7445.2019.06.002

中华医学会器官移植学分会^,

430032 武汉，华中科技大学同济医学院附属同济医院器官移植研究所器官移植教育部重点实验室卫健委器官移植重点实验室中国医学科学院器官移植重点实验室（郭晖、明长生、陈实）

基金项目:

国家卫生和计划生育委员会行业科研专项基金 201302009

中国医学科学院中央级公益性科研院所基本科研业务费专项基金 2018PT32018

华中科技大学自主创新基金项目 01-08-540149

详细信息

通讯作者:
郭晖，Email: zcguo@tjh.tjmu.edu.cn

中图分类号: R617, R36
计量
- 文章访问数: 202
- HTML全文浏览量: 120
- PDF下载量: 60
- 被引次数: 0
出版历程
- 收稿日期: 2019-08-27
- 网络出版日期: 2021-01-19
- 刊出日期: 2019-11-15

Clinical operation specification for pancreas allograft pathology (2019 edition)

Branch of Organ Transplantation of Chinese Medical Association^,

摘要

摘要: 为了进一步规范移植胰腺病理学的临床操作，中华医学会器官移植学分会组织器官移植学专家和病理学专家从移植胰腺活组织检查（活检）病理学检查的临床基本操作规范、移植胰腺排斥反应的病理学诊断、移植胰腺外分泌的不同处理术式所致的病理学变化、移植胰腺血栓栓塞、移植胰腺的胰腺炎、胰腺移植后淋巴组织增生性疾病、移植胰腺胰岛炎与糖尿病复发、免疫抑制剂对移植胰腺的影响、移植胰腺的细胞学诊断方法等方面，制订本规范。
- 器官移植 /
- 移植病理学 /
- 移植胰腺 /
- 排斥反应 /
- 外分泌 /
- 血栓栓塞 /
- 胰腺炎 /
- 移植后淋巴组织增生性疾病 /
- 糖尿病复发

HTML全文

图 1 移植胰腺活检方式选择流程图

Figure 1. Flow chart of selection methods of biopsies for pancreas allograft

下载: 全尺寸图片幻灯片

图 2 移植胰腺急性细胞性排斥反应的病理学特征

A、B图示胰腺间质内大量淋巴细胞为主的单个核炎性细胞浸润，A图（HE，×100），B图（HE，×200）；C图示胰腺间质内大量的单个核炎性细胞浸润，且其中可见多数嗜酸性粒细胞（HE，×400）；D、E图示胰腺内导管上皮被淋巴细胞浸润形成导管上皮炎（↑），D图（HE，×200），E图（HE，×400）；HE为苏木素-伊红

Figure 2. Pathological characteristics of acute cellular rejection in pancreas allograft

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图 3 移植胰腺急性血管性排斥反应的病理学特征

A、B图示动脉内膜水肿致管腔不同程度狭窄（↑），A图（HE，×200），B图（HE，×100）；C图示动脉内膜大量淋巴细胞浸润，内膜水肿增厚及管壁平滑肌局部纤维素样坏死（↑）（HE，×200）

Figure 3. Pathological characteristics of acute vascular rejection in pancreas allograft

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图 4 移植胰腺慢性移植物动脉血管病的病理学特征

图示移植胰腺动脉分支内膜增生致管腔明显狭窄甚至闭塞（HE，×200）

Figure 4. Pathological characteristics of chronic transplant vasculopathy in pancreas allograft

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图 5 移植胰腺动脉血栓栓塞的大体表现

图示移植胰腺动脉主干剖开可见管腔内血栓栓塞（↑）

Figure 5. Gross manifestation of arterial thrombus embolism in pancreas allograft

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