急性胰腺炎复发的病因及处理  

Etiology amd Managements of Recurrence of Acute Pancreatitis.

作　　者：张伟[1] 单宏超[1] 顾岩[1] 

机构地区：[1]上海第二医科大学附属第九人民医院外科,200011

出　　处：《外科理论与实践》2003年第3期240-242,共3页Journal of Surgery Concepts & Practice

摘　　要：目的:探讨急性胰腺炎病人出院后复发的临床经过、病因学诊断和治疗,以及如何进一步提高急性胰腺炎的诊治水平。方法:分析1997年至2000年间33例急性胰腺炎复发病人的随访资料和临床治疗结果。结果:急性胰腺炎的复发率为12.41％。2次复发26例,3次复发5例,4次和5次复发各1例。33例病人中,出院后1年内复发18例,占复发病例的54.55％;1～3年内复发10例,占30.30％;3年后复发5例,占15.15％。就病因而言,有胆源性胰腺炎17例,酒精性胰腺炎2例,高脂血症3例,胰腺囊性腺癌3例,特发性胰腺炎8例。手术治疗8例,经内镜逆行胰胆管造影术(ERCP)及经内镜括约肌切开术(EST)治疗2例。死亡5例,死亡率15.15％。结论:明确病因是减少复急性胰腺炎复发的基本条件,针对病因的合理治疗是降低急性胰腺炎复发的有效保证。Objective: To study the etiology and management of recurrence of acute pancreatitis . Methods: The clinical data and the therapeutic results of 33 cases of recurrence of acute pancreatitis admitted from 1997 to 2000 were analyzed. Results: The rate of recurrence was 12.41%(33/266). Of the 33 patients, 26 had two relapses, 5 had three relapses, and two cases each had four or five relapses. Eighteen patients (54.55%) had their recurrence within one year after discharge, 10 (30.30%) after one to three years, and 5 (15.15%) after three years. Etiologically,17 had biliary pancreatitis, 2 alcohol-induced, 3 hyperlipidemic, 3 with pancreatic cystadenocarcinoma, and 8 belonged to idiopathic pancreatitis. Eight patients underwent surgical operation, and 2 patients had ERCP with sphincterotomy (EST). Five patients died (15.15%). Conclusions: It is essential to elucidate the causes of recurrence and treat the cases accordingly in order to decrease the rate of recurrence.

关 键 词：急性胰腺炎 复发 病因 手术治疗 经内镜逆行胰胆管造影术 经内镜括约肌切开术 

分 类 号：R657.51[医药卫生—外科学]