急性复发性胰腺炎52例临床及ERCP检查结果分析

Analysis of the Clinical Characteristics of 52 Cases with Acute Recurrent Pancreatitis and ERCP Test Results

目的对急性复发性胰腺炎（ARP）的临床特点及内镜逆行胰胆管造影（ERCP）的检查结果进行分析探讨。方法以该院2013年1月—2014年5月收治的52例ARP患者作为研究对象,所有患者均行ERCP检查,观察总结患者的临床特点及ERCP检查结果。结果病因：胆源性胰腺炎24例,占46.15%,高脂血症胰腺炎14例,占26.92%,酒精性胰腺炎6例,占11.54%,其他5例,占9.62%。ERCP检查结果：十二指肠乳头憩室19例,占36.54%,憩室直径为1 cm以下者7例,1~1.9 cm者9例,2 cm以上者3例。结论胆道病变为胰腺炎复发的重要原因,ERCP对于急性复发性胰腺炎的诊断具有重要价值,可为临床诊断及治疗提供可靠依据,值得临床推广借鉴。

Objective To analyze and discuss the clinical characteristics of acute recurrent pancreatitis （ARP） and ERCP test results. Methods 52 cases with ARP treated in our hospital from January 2013 to May 2014 were selected as the re-search object and all of the patients were given ERCP test, the clinical characteristics and ERCP test results of the patients were observed. Results Pathogeny：24 cases were biliary pancreatitis, accounting for 46.15%, 14 cases were pancreatitis due to hyperlipidemia, accounting for 26.92%,6 cases were alcoholic pancreatitis, accounting for 11.54%, 5 cases were the other diseases, accounting for 9.62%.ERCP test results：19 cases were papillary duodenal diverticulum, accounting for 36.54%, in terms of diverticulum diameter, 7 cases were below 1cm, 9 cases were 1~1.9cm and 3 cases were above 2cm. Conclusion Biliary tract disease is an important cause of pancreatitis recurrence, ERCP is of great value in the diagnosis of ARP, and it can provide reliable basis for clinical diagnosis and treatment, which is worthy of promotion in clinic.