Sarles H
Bull Acad Natl Med. 1992 Feb;176(2):153-8; discussion 159-62.
118 patients presenting with pancreatic lithiasis were consecutively observed in our service. They underwent both an endoscopic pancreatography and good plain films of the abdomen. Calculi were classified in 3 groups: 1) Radiolucent calculi (17 cases, 5 females; 4 hereditary cases) are build up of amorphous residues of lithostathine S. This disease is not related to either alcohol, diet or tobacco. 2) Taget calculi (27 cases, 4 females; 3 hereditary cases) have a radiolucent core as in 1 and a peripheral calcification. They are a late evolutionary stage of radiolucent lithiasis. The frequency of females and of hereditary cases is significantly greater in form 1 + 2 than in form 3. These two forms are a newly described disease without relationship with nutrition, alcohol or tobacco but the peripheral calcification of radiolucent calculi is favoured by alcohol and tobacco. This disease could be hereditary. 3) Calcic lithiasis (74 cases, 8 females, 2 hereditary cases) is the most frequent form of pancreatic lithiasis. Its cause is nutritional.
我们科室连续观察了118例患有胰腺结石的患者。他们均接受了内镜胰腺造影检查以及高质量的腹部平片检查。结石分为3组：1）透光结石（17例，5名女性；4例遗传性病例）由lithostathine S的无定形残留物组成。这种疾病与酒精、饮食或烟草均无关。2）靶形结石（27例，4名女性；3例遗传性病例）与1组情况相同，有一个透光核心以及外周钙化。它们是透光结石的晚期演变阶段。1 + 2型中女性和遗传性病例的发生率明显高于3型。这两种类型是一种新描述的疾病，与营养、酒精或烟草无关，但酒精和烟草会促使透光结石出现外周钙化。这种疾病可能具有遗传性。3）钙化结石（74例，8名女性，2例遗传性病例）是胰腺结石最常见的类型。其病因与营养有关。
