胆囊摘除术后急性胰腺炎的病因探讨  

Etiology of acute pancreatitis in cholecystectomized patients.

作　　者：胡玲[1] 胡兵[1] 唐承薇[1] 

机构地区：[1]四川大学华西医院消化内科,成都610041

出　　处：《胰腺病学》2007年第2期82-83,共2页Chinese JOurnal of Pancreatology

摘　　要：目的探讨胆囊摘除术后患者发生急性胰腺炎的常见病因。方法收集近2年来的急性胰腺炎患者222例，根据超声及内镜下逆行胰胆管造影术（endoscopic retrograde holangiopancreatography，ERCP）的检查结果，进行回顾性分析和比较。结果222例患者中，单纯胆囊摘除术后发生急性胰腺炎的患者有43例（男性20例，平均年龄53．6岁，女性23例，平均年龄57．0岁），其中胆总管扩张伴胆总管结石的概率为66．7％（24／36），与胆总管无扩张但发生胆总管结石的概率（57．1％，4／7）相比无显著差异（P〉0．05）。超声未发现结石的患者中，十二指肠乳头炎发生率为37．9％（11／29）。结论胆囊摘除术后发生急性胰腺炎的病因中以胆总管结石为主，其次为十二指肠乳头炎。Objective To explore the etiology of acute pancreatitis in cholecystectomized patients. Methods Data of 222 patients with acute pancreatits who were referred to this hospital for endoscopic retrograde cholangiopancreatography （ERCP） during the last 2 years were collected and analyzed retrospectively. Etiologic analysis was made based on the results of ultrasonic examination and ERCP. Results In 43 cholecystectomized patients （male 20, mean age 53.6 years; female 23, mean age 57 years）, the rate of biliary patients with common bile duct dilation was 66.7 % （24/36）, while the rate of biliary patients without common bile duct dilation was 57.1 % （4/7）. There was no significant difference between them（P 〉 0. 05）. The rate of duodenal papillitis in non-biliary patients was 37.9% （11/29）. Conclusions The main etiology of acute pancreatitis in cholecystectomized patients was choledocholithiasis, and the second cause was duodenal papillitis.

关 键 词：胰腺炎 急性病 胆囊切除术 ERCP 胆总管结石 

分 类 号：R657[医药卫生—外科学]