| 摘要: |
| ［摘要］ 目的 回顾分析急性胆源性胰腺炎（ABP）复发的临床特征及原因。方法 对2004-01～2008-07收治的115例ABP患者的临床资料进行回顾性分析。结果 115例的随访观察时间为6～54个月，平均为27.6个月。常规内科治疗组63例，20例复发，复发率为31.7%；内科治疗辅助胆囊切除术组52例，6例复发，复发率为11.5%，常规内科治疗组的复发率高于内科治疗辅助胆囊切除术组（P<0.01）。结论 切除胆囊能降低胰腺炎复发率，胆总管结石是胆囊切除后胰腺炎复发的主要原因。 |
| 关键词: 胰腺炎 胆囊 复发 复发率 |
| DOI：10.3969/j.issn.1674-3806.2012.02.20 |
| 分类号:R 657.5+1 |
| 基金项目: |
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| Clinical features and recurrence rate of acute biliary pancreatitis:Report of 115 cases |
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BO You-xia
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Department of Internal Medicine,the People′s Hospital of Tiane County, Guangxi 547300, China
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| Abstract: |
| ［Abstract］ Objective To explore the clinical features and cause of recurrence of acute biliary pancreatitis.Methods The clinical date of 115 patients with acute biliary pancreatitis treated in our hospital from January 2004 to July 2008, were retrospectively analyzed. According to the conditions of patients, these patients were divided into the medical treatment group and the medical treatment plus cholecystectomy group. The recurrence rate of biliary pancreatitis were compared between two groups.Results The average follow-up time was 27.6 months (6～54 months). In medical treatment group recurrence were found in 20 patients, recurrence rate was 31.7%(20/63). In the medical treatment plus cholecystectomy group, recurrence were found in 6 patients, recurrence rate was 11.5%(6/52). The recurrence rate in the medical treatment group was higher than that in the medical treatment plus cholecystectomy group (P<0.01).Conclusion Gallbladder resection can reduce the recurrence rate of pancreatitis.Common bile duct calculi is the main cause of recurrence of pancreatitis after cholecystectomy. |
| Key words: Pancreatitis Gallbladder Recurrence Recurrence rate |
