中国社区医师
中國社區醫師
중국사구의사
Chinese Community Doctors
2014年
31期
23-23,25
,共2页
胆源性胰腺炎%病因学%胆囊结石%肝胆管结石
膽源性胰腺炎%病因學%膽囊結石%肝膽管結石
담원성이선염%병인학%담낭결석%간담관결석
Gallstone pancreatitis%Etiology%Gallstone%Hepatobiliary lithiasis
目的:探讨胆囊结石(GS)、肝胆管结石(HS)与胆源性胰腺炎(AGP)之间的临床关系。方法:对108例AGP的病因进行回顾性分析。结果:189例急性胰腺炎(AP)中,AGP 108例(57.1%),其中GS诱发91例(84.3%),HS诱发4例(3.7%),胆道蛔虫诱发13例(12%)。两类胆石症AP发生率比较差异有统计学意义(P<0.01)。结论:GS较HS更易诱发胆源性胰腺炎;酗酒、高脂饮食等复合因素的综合作用是AGP以及AGP重症化的重要原因。
目的:探討膽囊結石(GS)、肝膽管結石(HS)與膽源性胰腺炎(AGP)之間的臨床關繫。方法:對108例AGP的病因進行迴顧性分析。結果:189例急性胰腺炎(AP)中,AGP 108例(57.1%),其中GS誘髮91例(84.3%),HS誘髮4例(3.7%),膽道蛔蟲誘髮13例(12%)。兩類膽石癥AP髮生率比較差異有統計學意義(P<0.01)。結論:GS較HS更易誘髮膽源性胰腺炎;酗酒、高脂飲食等複閤因素的綜閤作用是AGP以及AGP重癥化的重要原因。
목적:탐토담낭결석(GS)、간담관결석(HS)여담원성이선염(AGP)지간적림상관계。방법:대108례AGP적병인진행회고성분석。결과:189례급성이선염(AP)중,AGP 108례(57.1%),기중GS유발91례(84.3%),HS유발4례(3.7%),담도회충유발13례(12%)。량류담석증AP발생솔비교차이유통계학의의(P<0.01)。결론:GS교HS경역유발담원성이선염;후주、고지음식등복합인소적종합작용시AGP이급AGP중증화적중요원인。
Objective:To discuss the clinical relationship between gallstone(GS),hepatobiliary lithiasis(HS) and gallstone pancreatitis(AGP).Methods:The etiology of 108 AGP was retrospectively analyzed.Results:In 189 cases of acute pancreatitis(AP), 108 cases(57.1%) were AGP,including 91 cases(84.3%) induced by GS,4 cases(3.7%) induced by HS,13 cases(12%) induced by biliary tract ascariasis.The AP incidence rates of two types of gallstone were significant difference(P<0.01).Conclusion:GS is easier to cause gallstone pancreatitis than HS.The comprehensive effects of alcohol,high fat diet and other composite factors are important causes of AGP and severe AGP.