十二指肠乳头周围憩室与急性胰腺炎关系的探讨  

Relationship between acute pancreatitis and periampullary diverticula

作　　者：张宁[1] 高峰玉[1] 张楠[1] 郭学建[2] 

机构地区：[1]青岛市第三人民医院内镜中心,266041 [2]中国人民解放军第四○六医院

出　　处：《医师进修杂志》2005年第9期21-22,24,共3页Journal of Postgraduates of Medicine

摘　　要：目的探讨十二指肠乳头周围憩室与急性胰腺炎的关系。方法对878例患者行十二指肠镜检查并做内镜下逆行胰胆管造影术(ERCP)。其中发现十二指肠乳头周围憩室者128例(憩室组),未发现憩室者750例(对照组)。每例患者详细记录ERCP指征及检查结果。结果胆石症检出率在憩室组为66.4%,对照组为41.3%(P<0.001)。以急性胰腺炎为ERCP指征在憩室组为56.3%,对照组22.3%(P<0.001)。不明原因急性胰腺炎(特发性急性胰腺炎)憩室组17.2%,对照组2.0%(P<0.001)。结论十二指肠乳头周围憩室与急性胰腺炎发病有关。并可以认为乳头周围憩室是急性胰腺炎发病的病因之一。Objective To investigate the relationship between acute pancreatitis（AP） and periampullary diverticula （PAD）. Methods Included 878 consecutive patients who underwent successful endoscopic retrograde cholanggiopancreatography （ERCP）, PAD were discovered in 128 cases （PAD group） ; Patients without PAD were 750 cases （control group）. Indication for ERCP and final diagnosis were recorded in each case. Results The age of PAD group was significantly higher than that of control group （ P 〈 0. 001 ）. The incidence of bilirary lithiasis was 66.4% in PAD group and 41.3% in control group （P〈0.001）. A recent episode of acute phase of AP constituted the indication for ERCP in 56.3% of PAD group and 22.3% of control group （P〈0.001） .Idiopathic AP was found more often （P 〈 0.001） in PAD group （17.2%）than that in control group （2.0%）. conclusions The presence of PAD, mainly in elderly patients, definitely play an important vole in AP and should be included in the list of possible etiological factors.

关 键 词：急性胰腺炎 十二指肠乳头周围憩室 逆行胰胆管造影术 十二指肠镜检查 特发性急性胰腺炎 十二指肠乳头 憩室 周围 内镜下逆行胰胆管造影术 ERCP 

分 类 号：R576[医药卫生—消化系统] R816.5[医药卫生—内科学]