胆囊切除术后急性胰腺炎的诊治  

Diagnosis and treatment of postcholecystectomy acute pancreatitis

作　　者：许杰[1] 王利明[1] 

机构地区：[1]安徽省蚌埠市第一人民医院消化内科,233000

出　　处：《淮海医药》2005年第3期185-186,共2页Journal of Huaihai Medicine

摘　　要：目的　总结胆囊切除术后急性胰腺炎的诊治体会,以改进诊治方法。方法　对30例胆囊切除术后急性胰腺炎的临床资料进行回顾性分析。结果　胆囊切除术后急性胰腺为经内科综合治疗能取得满意疗效,CT的诊断率较高。结论　胆囊切除术后急性胰腺炎的发病诱因与饮食有关。其机理是由于Oddi括约肌功能失常造成十二指肠液,胆汁反流,胰液排空受阻。可合并肝脏、肾脏等其他脏器损害,内科治疗主要是恢复Oddi括约肌功能和控制感染。Objective To summarize our experience in diagnosis and treatme nt of postcholecystectomy AP and to impr ove the therapeutic modality.Methods 30 cases of postcholecystectomy AP we re analyzed retrospectively.Results The rate of diagnosis of postcholecys tectomy AP is relatively higher by CT an d medical comprehensive therapy can obta in satisfying effects.Conclusion T he predisposing fators of postcholecyste ctomy AP is relative to diet.The patholo gic mechanism of this disease is due to duodenal juice and bile regurgitation a nd pancreatic juice evacuation disturban ce caused by the abnormality of Oddi's s phincter function.It can do damages to o ther organs such as liver and kidney etc .The most important of medical therapy i s to recover Oddi's sphincter function a nd to control infection.

关 键 词：术后急性胰腺炎 ODDI括约肌功能 内科综合治疗 胆囊切除术后 回顾性分析 十二指肠液 诊治体会 诊治方法 临床资料 发病诱因 功能失常 胆汁反流 脏器损害 控制感染 内科治疗 诊断率 

分 类 号：R657.51[医药卫生—外科学] R657.42[医药卫生—临床医学]