中国北方地区慢性胰腺炎的病因分析

The etiology of chronic pancreatitis in northern China

目的研究中国北方地区慢性胰腺炎的病因。方法回顾性分析中国人民解放军总医院2010年1月1日-2014年12月31日收治的133例北方地区慢性胰腺炎患者的临床资料,总结其发病原因及特点。结果在133例慢性胰腺炎患者中,46例(34.59%)由长期饮酒所致,20例(15.04%)与胆系疾病相关,11例(8.27%)患者同时存在长期饮酒与合并胆系疾病两种致病因素,25例(18.80%)为特发性胰腺炎,20例(15.04%)诊断为自身免疫性胰腺炎,其余少见病因包括先天发育异常、急性胰腺炎后、代谢紊乱等共11例(8.27%)。结论在我国北方地区,长期饮酒是引起慢性胰腺炎的最常见病因。

Objective To analyze the etiology of chronic pancreatitis in northern China .Methods The etiology of 133 chronic pancreatitis patients were analyzed retrospectively .These patients were hospitalized in the Chinese PLA General Hospital from Jan .2010 to Dec.2014 , and all patients lived in the northern part of China .Results Among these patients, 46 cases （34.59%） had long term of alcohol consuming history , 20 cases （15.04%） had biliary disea-ses, 11 cases （8.27%） had both long term of alcohol consuming history and biliary diseases , 25 cases （18.80%） were idiopathic pancreatitis and 20 cases （ 15 .04%） were diagnosed as autoimmune pancreatitis , 11 cases （ 8 .27%） had rare causes.Conclusion Long term of alcohol consuming history is the common etiology of chronic pancreatitis in northern China .