慢性胰腺炎182例临床分析

目的:探讨慢性胰腺炎(CP)的病因、临床表现及诊治方法.方法:回顾分析1990年1月～2009年12月的182例CP患者的临床资料.结果:182例患者中胆源性73例,占40.1%,酒精性55例,占30.2%,特发性45例,占24.7%.患者临床表现主要为腹痛,少数伴有腹胀、黄疸、体质量下降、脂肪性腹泻等症状.本组非手术治疗127例,占69.8%,内镜下介入治疗21例,占11.5%,手术治疗34例,占18.7%.结论:胆管系统疾病仍是CP的主要致病因素,非手术治疗是CP主要治疗措施.

Clinical analysis of chronic pancreatitis in 182 cases

Objective：To investigate the etiology,clinical symptoms,diagnosis and treatment for chronic pancreatitis.Methods：The clinical data of 182 patients with chronic pancreatitis treated in our hospital between January 1990 and December 2009 were retrospectively analyzed.Results：Among all patients,there were 73 cases with biliary chronic pancreatitis（40.1%）,55 with alcoholic pancreatitis （30.2%）and 45 with idiopathic chronic pancreatitis（24.7%）.The most common symptom of chronic pancreatitis was abdominal pain.A few patients were accompanied by abdominal distention,jaundice,steatorrhoea and weight loss.Of the 182 cases,42 cases（69.8%）were treated medically,42 cases（11.5%）received endoscopic guided interventional therapy,34 cases（18.7%）underwent operation.Conclusion：Biliary tract diseases are still the most common etiological fctors of chronic pancreatitis,the rate of alcoholic chronic pancreatitis is increasing gradually.Non-operation therapies are the main methods to treat chronic pancreatitis.