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岭南现代临床外科 ›› 2018, Vol. 18 ›› Issue (06): 711-715.DOI: 10.3969/j.issn.1009?976X.2018.06.025

• 综述 • 上一篇    下一篇

慢性胰腺炎诊断与治疗研究进展

黄贻培,许磊波*   

  1. 中山大学孙逸仙纪念医院
  • 通讯作者: 许磊波

Advances in diagnosis and treatment of chronic pancreatitis

HUANG Yipei,XU Leibo   

  1. Department of Biliary Pancreatic Surgery,Sun Yat sen Memorial Hospital,Sun Yat sen University, Guangzhou 510289,China
  • Online:2018-12-20 Published:2018-12-20
  • Contact: XU Leibo

摘要: 慢性胰腺炎是临床上较常见的慢性消化系统疾病,发病机制尚未明确,临床主要表现为反复发作性腹痛、消化不良、脂肪泻、血糖升高等,具有症状反复、迁延难愈的特点。结合多种影像学检查和胰腺内外分泌功能检测可提高慢性胰腺炎的确诊率。但对于早期慢性胰腺炎患者,目前仍难发现、难诊断。治疗策略上着重于缓解患者症状、控制疾病进展、改善胰腺功能和防治相关并发症,强调以个体化治疗为中心的多学科综合治疗。本文就慢性胰腺炎的疾病特点和近些年来的诊治进展做简要综述。

关键词: 慢性胰腺炎, 致病因素, 治疗, 诊断

Abstract: Chronic pancreatitis,as a chronic disease of digestive system,is commonly emerged and diagnosed. However , its pathogenesis remains unclear. The patients usually experience annoying symptoms such as recurrent abdominal pain ,indigestion ,fatty diarrhea,hyperglycemia,and so on. Patients with chronic pancreatitis tend to relapse easily and can′ t be treated with satisfaction. Various kinds of imaging examinations,together with the measurement of pancreatic secretory function,can help the diagnosis of chronic pancreatitis. However ,for patients with early chronic pancreatitis ,it is still difficult to detect and diagnose. Therapeutic strategies mainly focus on the relief of clinical symptoms and avoiding deterioration. In the meantime ,we are expected to improvethe pancreatic secretory function and prevent the relative complications. Furthermore,individualized multidisciplinary comprehensive treatmentis highlighted. Our present review gives a brief illustration on the disease characteristics and the developing views in the diagnosis and treatment of chronic pancreatitis in recent years。

Key words: pathogenesis, treatment, chronic pancreatitis, diagnosis

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