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[胆囊切除术后慢性胰腺炎患者胰腺的结构状态及粪便检查参数评估]

[Structural state of the pancreas and coprogram parameters for assessment patients with chronic pancreatitis after cholecystectomy].

作者信息

Babinets' L S, Nazarchuk N V, Kytsaĭ K Iu

出版信息

Lik Sprava. 2014 Nov(11):82-4.

Abstract

Reviewed by a structural condition of the pancreas by ultrasound and scores from the Marseille-Cambridge classification in patients with chronic biliary pancreatitis, including those who had a history of cholecystectomy. Found that after cholecystectomy gland size decreased slightly, but significantly fibrosis is increased. Chronic inflammation and fibrosis of the gland leads to inhibition of both acinar and ductal secretory function, leads to its external and internal secretion deficiency. In assessing coprogram found that most patients with CP present with signs of exocrine insufficiency, including steatorrhea and kreatorrhea that are most pronounced in patients with CP after open cholecystectomy.

摘要

通过超声检查胰腺的结构状况,并依据马赛 - 剑桥分类法对慢性胆源性胰腺炎患者(包括有胆囊切除术史的患者)进行评分。发现胆囊切除术后腺体大小略有减小,但纤维化显著增加。腺体的慢性炎症和纤维化导致腺泡和导管分泌功能均受到抑制,进而导致其内分泌和外分泌功能不足。在评估粪便检查结果时发现,大多数慢性胰腺炎患者存在外分泌功能不全的迹象,包括脂肪泻和肉质泻,在开腹胆囊切除术后的慢性胰腺炎患者中最为明显。

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