胰腺炎与脂肪肝的相关性探讨

Correlative analysis between pancreatitis and fatty liver

目的 :探讨胰腺炎与脂肪肝之间的相关性。方法 :86例胰腺炎都进行肝、胆、胰腺CT扫描。 12例查血甘油三酯。结果 :86例胰腺炎中急性胰腺炎 80例 ,慢性胰腺炎 6例。 86例中伴脂肪肝者 5 1例 ,占 5 9.3 % ,其中Ⅰ级脂肪肝 3 1例 ,Ⅱ级脂肪肝 13例 ,Ⅲ级脂肪肝 7例。伴胆系疾病者 17例 ,占 19.7% ,不伴脂肪肝和胆系疾病者 18例 ,占 2 0 .9%。 12例查血甘油三酯 ,其中 7例不同级别脂肪肝的甘油三酯呈不同程度的升高。结论 :患脂肪肝的人易诱发胰腺炎 ,其机理是脂肪肝的病人血中甘油三酯升高。

Objective:To study the correlativity between pancreatitis and fatty liver.Methods:86 cases with pancreatitis underwent consecutive CT scans including liver,gallbladder and pancreas.The serum triglycerride (TG) was measured in 12 cases.Results:There were 80 cases of acute pancreatitis and 6 cases of chronic pancreatitis.Among those patients,there were 51 cases (59.3%) with fatty liver.The degree of fatty liver was graded as grade Ⅰ(n=31),grade Ⅱ (n=13) and grade Ⅲ (n=7).17 cases accompanied biliary diseases (19.7%),and 18 without biliary disease (20.9%).In 7 cases,serum TG was elevated in variable degrees.Conclusion:Patients with fatty liver were vulnerable to pancreatitis because of hypertriglyceridemia.