急性复发性胰腺炎52例临床及ERCP检查结果分析

王恒　赵成光　赵俊华

[摘要] 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。

[关键词] 复发性胰腺炎；临床特点；ERCP

[中图分类号] R657.5 [文献标识码] A [文章编号] 1674-0742（2015）12（a）-0036-02

[Abstract] 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 research 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.

[Key words] Recurrent pancreatitis； Clinical characteristics； ERCP

急性复发性胰腺炎（acute recurrent pancreatitis， ARP）是无慢性胰腺炎影像学改变患者两次及以上确诊为急性胰腺炎，且在两次发作期间，急性胰腺炎体征及症状基本或完全缓解。ARP为消化科常见性疾病，容易复发，给患者的健康及生命造成严重威胁[1]。临床研究指出，寻找到ARP的发病原因为治疗与预防再复发的关键[2]。内镜逆行胰胆管造影（endoscopic retrograde cholangiopan creatography， ERCP）是近年来发展起来的新型的诊疗技术，已经在很多肝、胆疾病的诊治当中得到广泛应用。该研究通过对该院2013年1月—2014年5月收治的52例急性复发性胰腺炎患者的临床特点及ERCP检查结果进行回顾性分析，旨在对急性复发性胰腺炎的发病原因及防治方法进行分析探讨，现报道如下。

1 资料与方法

1.1 一般资料

整群选取该院收治的52例ARP患者为研究对象，其中男29例，女23例；……