215例慢性胰腺炎病因学分析

目的：探讨我国慢性胰腺炎的病因。方法：回顾性分析1990－2000年北京协和医院215例慢性胰腺炎患者的病因。结果：215例慢性胰腺炎患者的病因中，胆道系统疾病占36．7％，酒精中毒占26．5％，特发性占30．2％，其他病因包括自身免疫性疾病、急性胰腺炎、外伤和遗传等。胆道系统疾病中以胆囊结石最为多见，其次为胆管结石和胆囊炎。结论：我国慢性胰腺炎的病因以胆道系统疾病为主，而酒精性因素呈上升趋势，自身免疫性疾病作为慢性胰腺炎的病因正逐渐受到重视。

Etiological Analysis of Chronic Pancreatitis in 215 Cases

Background/Aims: To probe into the etiology of chronic pancreatitis in China. Methods: The etiology of 215 cases of chronic pancreatitis in Peking Union Medical College Hospital from 1990 to 2000 was retrospectively analyzed. Results: The causes of 215 cases of chronic pancreatitis were bilia- ry diseases (36.7%), alcoholic (26.5%), idiopathic (30.2%), and other uncommon causes such as autoim- mune disease, recurrent acute pancreatitis, trauma, heredity etc. Among biliary diseases, the most common cause was cholecystolithiasis, while bile duct stone and cholecystitis being the next. Conclu- sions: The main etiology of chronic pancreatitis in China is biliarv disease, that caused by ethanol is increasing, whereas autoimmune disease as one of the etiologies is receiving increasing attention.