You Position: Home > Paper
Etiology of acute pancreatitis in cholecystectomized patients
( views:343, downloads:52 )
- Author:
- No author available
- Journal Title:
- CHINESE JOURNAL OF PANCREATOLOGY
- Issue:
- 2
- DOI:
- 10.3760/cma.j.issn.1674-1935.2007.02.005
- Key Word:
- 胰腺炎,急性病;胆囊切除术;ERCP;胆总管结石
Abstract： 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 holangiopan-creatography, 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.
- [1]李子禹,葛忠,王一.胆石病成因的研究与进展[J].2003,(12).
- [2]M L, Steer.Classification and pathogenesis of pancreatitis.[J].1989,69.
- [3].UK guidelines for the management of acute pancreatitis[J].2005,54(suppl_3).
- [4]Gronroos JM,Haapamaki MM,Gullichsen R.Effect of the diameter of the common bile duct on the incidence of bile duct stones in patients with recurrent attacks of right epigastric pain after cholecystectomy.[J].2001,167(10).
- [5]Guido Adler,Christoph K. Weber.Acute pancreatitis[J].2003,19(5).
- [6]Acosta Juan Miguel,Ledesma Carlos Luis.Gallstone Migration as a Cause of Acute Pancreatitis[J].1974.
- [7]C L, Moliver,E C, Saltzstein.Common bile duct distensibility after cholecystectomy.[J].1991,84.
- [8]黄志强.当代胆道外科学[M].1998.