慢性胰腺炎的诊断测试

Division of Gastroenterology, Long Island Jewish Medical Center, Albert Einstein College of Medicine, New Hyde Park, NY 11042.

Gastroenterologist. 1994 Sep;2(3):224-32.

We review the values of various tests in the diagnosis of suspected chronic pancreatitis, and we give a practical approach to diagnosis. Most cases can be diagnosed by a consideration of history, simple radiology, and serum enzymes. Problems arise in patients with noncalcific early chronic pancreatitis, in whom pain alone is the main feature. In these patients, a sequence of tests may be required to arrive at a diagnosis of probable or possible pancreatitis to one that is proven. In some cases, only time will tell.

我们回顾了各种检查在疑似慢性胰腺炎诊断中的价值，并给出了一种实用的诊断方法。大多数病例可通过综合考虑病史、简单的影像学检查和血清酶来诊断。非钙化性早期慢性胰腺炎患者会出现问题，这类患者仅以疼痛为主要特征。对于这些患者，可能需要一系列检查来确诊可能或疑似的胰腺炎，直至确诊。在某些情况下，只有时间能给出答案。