慢性胰腺炎的相关因素及诊治分析

目的研究我国慢性胰腺炎（CP）的相关因素及诊治特点。方法回顾分析我国近10年21所综合医院确诊为CP的1700例住院患者，调查其相关因素、诊断方法及治疗措施。结果近年我国CP的发病有增多趋势，男性多于女性。相关因素中以慢性乙醇中毒为主，1700例患者中，酒精性601例（35．4％），胆源性576例（33．9％），其他相关因素包括自身免疫性疾病、胰腺外伤等。反复发作的腹痛为最常见症状，少数患者表现为脂肪泻或体重减轻等。组织学检查是CP诊断的金标准，但大部分患者经由影像学检查及胰腺外分泌试验（BTPABA试验）诊断。85.9％的患者经非手术治疗获得症状缓解。结论重度饮酒已成为我国CP的主要致病因素，影像学检查在CP诊断中具有重要作用，非手术治疗是目前治疗慢性胰腺炎的主要方法。

Analysis on associated factors, diagnosis and treatment of 1700 cases with chronic pancreatitis

Objective To retrospectively analyze diagnosis and treatment of chronic pancreatitis. Methods One thousand and seven hundreds patients with confirmed chronic pancreatitis in 21 hospitals were retrospectively studied,including their associated etiological factors,diagnostic and therapeutic methods.Results Among these patients,601 were alcoholic,576 were biliary diseases origin,which ac- counted for 35.4% and 33.9%,respectively.The most common symptom of chronic pancreatitis was abdominal pain.Some of patients accompanied by steatorrhoea and decreased body weight.Part of pa tients(239 cases)were diagnosed by histopathologic examination.Others were diagnosed by imaging techniques.Alleviation of symptoms was achieved with conservative management.Conclusions Alcohol consumption was the most common predisposing factor for chronic pancreatitis.Imaging techniques play the most important role in diagnosis of the disease,and non-operation managements were the main meth- ods for treatment of chronic pancreatitis.