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急性胆石性胰腺炎发病原因和手术时机探讨
引用本文:王青庭 吴金生. 急性胆石性胰腺炎发病原因和手术时机探讨[J]. 肝胆外科杂志, 1996, 4(2): 80-82
作者姓名:王青庭 吴金生
作者单位:第四军医大学唐都医院普外科,第四军医大学唐都医院普外科,第四军医大学唐都医院普外科,第四军医大学唐都医院普外科 西安 710038,西安 710038,西安 710038,西安 710038
摘    要:通过60例急性胆石性胰腺炎资料分析,结合文献探讨了AGP的发病原因与手术时机。结果显示:共同通道具备了胆汁返流的解剖学基础;胆石阻塞胆总管下端、感染胆汁返流入胰管;肠胰返流及胰管梗阻均为AGP发病的重要因素。

关 键 词:胰腺炎 胆石性胰腺炎 胆结石 病因 外科手术

A study mechanism of development of the acute gallstone pancreatitis and timing of surgery.
WANG Qing-Ting WU Jin -Sheng MA Qing-Jiu et al.. A study mechanism of development of the acute gallstone pancreatitis and timing of surgery.[J]. Journal of Hepatobiliary Surgery, 1996, 4(2): 80-82
Authors:WANG Qing-Ting WU Jin -Sheng MA Qing-Jiu et al.
Abstract:Sixty Acute gallstone pancreatitis were analysed and combined to articles reviewing ,the cause and operation timing of the AGP were discussed, the result showed that common channal theory has its anatomical basis of bile reflux. When end of common bile buct was obstructed by stone , the infective bile reflux to panereatic duct and started a acute panceratitis. Duobemopancreatis reflux and pancreatic duct obstruction were important starting factors of the acute gallstone pancreatitis. The treatment selection of the AGP should based on seriousness and stage of the disease. In some of the cases,operation in earlystage is adcisable . When common bile duct stone was cleaned up by ERCP or ES, the sympton relieved, Then open of laparoscopic cholecystectomy in same admission was advisory.
Keywords:Acute gallstong pancreatitis Starting cause Timing of operaion
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