急性胆源性胰腺炎的诊断和治疗

Diagnosis and treatment of acute biliary pancreatitis

急性胆源性胰腺炎(acute biliary pancreatitis,ABP)是临床上常见的一种胰腺炎。各种原因引起的胆胰管出口排空不畅是ABP发生的重要原因,常见的致病因素包括胆囊结石、胆管结石,胆道感染、异常的Oddi括约肌痉挛、十二指肠乳头压迫、狭窄、胆胰汇合部异常等。各种病因导致的胆胰管排流不畅及压力异常,胆汁向胰管反流,胰液引流受阻、胰酶异常活化是导致ABP发生的中心环节。

Acute biliary pancreatitis(ABP) is a common type of pancreatitis. Biliopancreatic duct obstruction is an important cause of it. Because of its complex classification and etiologies,improper treatment may result in severe complications. At present, the diagnosis of ABP is noncontroversial,but there is no consensus on the timing and surgical method selection of ABP. In this paper, we reviewed recent literature to discuss the diagnosis and treatment of ABP.