中国实用外科杂志

中国实用外科杂志 ›› 2010, Vol. 30 ›› Issue (11): 942-943.

• 论著 • 上一篇    下一篇

急性复发性胰腺炎76例临床分析

丁国乾1，秦鸣放2，王    庆2，勾承月2，李    宁2   

  1. 1 天津医科大学研究生院， 天津300070;  2 天津市南开医院微创外科中心,天津300100
  • 出版日期:2010-11-01 发布日期:2010-10-25

  • Online:2010-11-01 Published:2010-10-25

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摘要：

目的    探讨急性复发性胰腺炎（acute recurrent pancreatitis，ARP）的临床特点、复发病因及内镜治疗胆源性ARP的临床价值。 方法  回顾性分析2004年12月至2010年1月天津市南开医院诊治76例ARP的临床资料。
结果    76例ARP中平均复发1.8次。距初次发作时间为1～42个月，平均5.9个月。1年内复发66例，占86.8%。ARP的主要病因为胆源性胰腺炎（59例），经内镜治疗成功52例，成功率88.1%，治疗后随访6～72个月，未见再次复发。结论    及时找出病因、去除诱因、行针对性治疗对避免ARP的复发具有重要意义。胆道病变是ARP复发的主要原因，适时的内镜治疗能有效降低胆源性ARP的复发。

关键词: 急性复发性胰腺炎, 内镜治疗

Abstract:

Acute recurrent pancreatitis：an analysis of 76 cases        DING Guo-qian*,QIN Ming-fang, WANG Qing ,et al. *Graduate School of Tianjin Medical University, Tianjin 300070, China
Corresponding  author ：QIN Ming-fang, E-mail:qins88@sina.com
Abstract    Objective    To explore the clinical features and the causes of acute recurrent pancreatitis (ARP) and the value of endoscopy in treatment of recurrent cholangitis-originated ARP．Methods    The clinical data of 76 cases of ARP admitted between December 2004 and January 2010 at Nankai Hospital of Tianjin City were analyzed retrospectively. Results    The mean recurrence rate of 76 cases of ARP was at 1.8 times. The time is 1-42 months after the first attack with the average of 5.9 months. Sixty-six cases （86.8%） recurred within 1 year. The main etiological factor of ARP was cholangitis-originated pancreatitis （50 cases）. Fifty-two cases （88.1%）were treated with endoscopy successfully and followed up 6 to 72 months without recurrence. Conclusion    Finding the causes, removing incentives and targeted therapy in time are very important to avoid the ARP. Cholangitis-originated pancreatitis is the leading cause of ARP recurrence, and endoscopic treatment in time can reduce the recurrence of ARP．

Key words: acute recurrent pancreatic, endoscopy