急性胆石性胰腺炎82例的临床与病理分析

分析８２例急性胆石性胰腺炎早期手术时的胆道系统和胰腺病理改变。结果表明：重症胰腺炎病理改变占２０．９％，住院期间死亡率３．７％。胆囊结石发现率为８５．５％，其中多数性结石占７１．１％，胆总管结石发现率为３６．８％，胆管扩张占５３．８％；胆囊管明显变粗，推测曾有过胆囊排石者占２６．４％；６８例术后造影发现有胆－胰汇合异常长型通道者占２０．１％，胆管远段狭窄占９．３％。以上资料说明急性胰腺炎诱发因素与反复胆囊排石导致胆管结石梗阻和胆管狭窄有明显关系，也与胆胰汇合异常有关（三种因素共占６４．４％）。作者认为若胆石性胰腺炎诊断明确，早期手术对愈后有利。

THE CLINICO-PATHOLOGICAL ANALYSIS ON ACUTE CHOLELITHIC PANCREATITIS OF 82 CASES

Eighty two cases of acute gallstone pancreatitis on early operation are reported and the significance of the clinical picture and pathology are analysed.The data showed that gallstone was found in 85.5 %,among the cases of them multiple gallstone was 71.1%,dilated cystic duct was 26.4%, common bile duct stone 36.8%,distal bile ductal stricture was found in 9.3%,and anomalous conjunction of binary and pancreatic duct was 20.1%.Sixteen cases with serious pancreatitis were determined on operation, but death rate was 3.7% only.The authors claim that early operation may be of value in patients of acute gallstone pancreatitis with or without jaundice espesially in bile duct obstruction.