摘要
[目的]总结胆囊切除前急性胆源性胰腺炎与胆囊切除后急性胰腺炎的临床特点,增加对胆源性急性胰腺炎病因的了解。[方法]回顾性比较分析15例胆囊切除前急性胆源性胰腺炎(组1)和15例胆囊切除后急性胰腺炎(组2)的临床资料。[结果]组1的病因均为胆囊结石,且12例经病理证实为胆囊多发小结石,胆囊切除后急性胰腺炎占同期急性胰腺炎比例为9.2%;15例中5例为胆源性,10例病因未明。组2的15例中有5例为复发性。2组高于正常的指标的病例数比较:组1中DB/TB(>50%)、GGT异常例数均多于组2(P<0.05)。血液生化检验指标2组间差异无统计学意义。[结论]胆囊切除前急性胆源性胰腺炎的主要病因是胆囊多发小结石;多数病例DB/TB(>50%)、GGT高于正常。胆总管复发结石为胆囊切除术后急性胰腺炎的重要病因,后者具有复发性,应多开展相关研究。
[Objective]Summarize the clinical characteristics of acute biliary pancreatitis before cholecys- tectomy and acute pancreatitis after cystic resection in order to mastering the etiology of the gallstone pan- creatitis. [Methods] Retrospectively analyzed the clinical data of 15 cases with acute biliary pancreatitis before cholecystectomy（Group 1） and that of 15 cases with acute pancreatitis after cystic resection （Group 2）. [Results] Etiology of Group 1 were gallstones, and 12 cases of that with multiple small gallstones proved by pathology. Patients with acute pancreatitis after cystic resection account for 9.2% of all patients with acute pancre- atitis in the hospital in the same period. 5 of 15 cases in Group 2 were recurrent; 5 of 15 cases were biliary, and 10 cases were unknown etiology. Parameter compared： cases of DB/TB（〉50%） in Group 1 were more than those in Group 2（P〈 0. 05）. And the cases with higher GGT in Group 1 were significantly more than that in Group 2（P 〈 0. 01）. Mean blood biochemical indicators measuring no difference between the two groups. [Conclusion]Multiple small gallstones were responsible for the acute pancreatitis before cholecys- tectomy. Parameters of DB/TB （〉 50%） and GGT with cases of Group 1 were higher than nor- mal. Recurrent choledocholithiasis was account for the acute pancreatitis after cystic resection, which was easily recurrent and worth more to research.
出处
《临床消化病杂志》
2014年第1期29-32,共4页
Chinese Journal of Clinical Gastroenterology
关键词
胰腺炎
胆结石
胆囊切除术
pancreatitis
gallstones
cholecystectomy
