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复发性胆源性胰腺炎的临床特点及诱发因素分析

吕坤 陈翔

吕坤, 陈翔. 复发性胆源性胰腺炎的临床特点及诱发因素分析[J]. 临床肝胆病杂志, 2016, 32(1): 127-130. DOI: 10.3969/j.issn.1001-5256.2016.01.024
引用本文: 吕坤, 陈翔. 复发性胆源性胰腺炎的临床特点及诱发因素分析[J]. 临床肝胆病杂志, 2016, 32(1): 127-130. DOI: 10.3969/j.issn.1001-5256.2016.01.024
Lu: Kun, Chen Xiang. Clinical features of recurrent biliary pancreatitis and its predisposing factors[J]. J Clin Hepatol, 2016, 32(1): 127-130. DOI: 10.3969/j.issn.1001-5256.2016.01.024
Citation: Lu: Kun, Chen Xiang. Clinical features of recurrent biliary pancreatitis and its predisposing factors[J]. J Clin Hepatol, 2016, 32(1): 127-130. DOI: 10.3969/j.issn.1001-5256.2016.01.024

复发性胆源性胰腺炎的临床特点及诱发因素分析

DOI: 10.3969/j.issn.1001-5256.2016.01.024
详细信息
  • 中图分类号: R576

Clinical features of recurrent biliary pancreatitis and its predisposing factors

  • 摘要: 目的探讨复发性胆源性胰腺炎的临床特点及诱发因素。方法选取江北区人民医院2008年1月-2014年12月收治的272例胆源性胰腺炎患者,其中复发性胆源性胰腺炎56例(复发组),初发性胆源性胰腺炎216例(初发组)。比较2组患者的临床特点和诱因。计量资料组间比较采用t检验,计数资料组间比较采用χ2检验。结果 2组患者的年龄、病死率比较,差异均无统计学意义(P值均>0.05)。与初发组比较,复发组中男性所占比例、APACHE-Ⅱ评分、中重度胰腺炎、胆总管结石发生率、合并胆总管开口狭窄率、合并高脂血症率、手术治疗率均显著升高(P值均<0.05)。复发组复发2次者与复发2次以上者的胰腺炎分型比较,差异亦有统计学意义(P=0.040)。复发组有明确诱因者明显高于初发组(80.36%vs 58.33%,P=0.002)。复发组中高脂饮食、饮酒率明显高于初发组(P值均<0.05),但是2组胆道感染、口服药物率的差异无统计学意义(P值均>0.05)。结论复发性胰腺炎在男性中多见,相对较重,常合并胆总管结石、胆总管开口狭窄、高脂血症,手术治疗率高。高脂饮食和饮酒是复发性胆源性胰腺炎...

     

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  • 收稿日期:  2015-05-14
  • 刊出日期:  2016-01-20
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