Clinical Research Of540Cases Of Chronic Pancreatitis And6Cases Of Autoimmune Pancreatitis

Objective：This paper compares and analyzes the clinical feature andtreatment methods of chronic pancreatitis， summarizes different causes of chronicpancreatitis, and focuses on one special types, namely autoimmune pancreatitis, theetiology and diagnosis standard, in order to improve the diagnosis and treatment ofchronic pancreatitis level.Materials and Methods：Retrospective analysis of the data of hospitalizedpatients of the China-Japan Union Hospital of Jilin University from March2003toDecember2011,540cases of chronic pancreatitis，Study the onset of chronicpancreatitis trend, the calculation of age, gender and related causes to therelationship between a ratio, analyzes the main clinical presentation, and thecomposition of the common complications than. Analyzed the typical clinicalpresentation and imaging features of6cases of autoimmune pancreatitis. Thestatistical analysis of related data are used spss16.Results：（1）The etiology of chronic pancreatitis related, biliary disease factorsis still in the first place, accounting for34.8%. the secondary was chronic alcoholicpoisoning, accounted for25.2%. The proportion of the CP caused by biliary ductfactor was obviously more than the CP caused by Chronic alcoholic poisoning (P<0.05). In addition, rare causes include: hyperlipemia or hypercalcemia (16.7%),after acute pancreatitis CP (13.3%).（2）The main clinical symptoms of chronicpancreatitis is abdominal pain433cases (80.2%) with bringing back pain65cases(11.9%), and abdominal distention203cases (37.6%), jaundice72cases (13.3%),diarrhea26cases (4.8%).(3)The complications of chronic pancreatitis is pancreaticpseudocyst70cases (13.0%), pancreas calcification32cases (5.9%), abdominalcavity effusion24patients (4.4%), upper gastrointestinal bleeding17cases(3.1%).(4)Imaging examination of chronic pancreatitis mainly include abdominal Bultrasonic (491cases), abdominal CT (469cases), MRCP (74cases), ERCP (46cases), the checking method of positive press from high to low order of sequencearrangement for: ERCP89.1%, MRCP85.1%, abdomen CT80.0%, B ultrasonic74.9%.(5)The patients were CP patients, surgical treatment for46cases (8.5%),including surgical operations for indications include: medical treatment invalidabdominal pain, suspicious space-occupying lesions and pancreatic cancer can’tidentify, who examined appear icteric consider obstruction, etc.Conclusion：The onset of chronic pancreatitis in the fast growing number,40to60years for chronic pancreatitis high-risk age, including male significantly morethan female. Chronic pancreatitis with biliary disease and related causes long-termheavy drinking is given priority to, is biliary disease in the majority, but both gap is notobvious. Abdominal pain and abdominal distension is the most common symptomsof chronic pancreatitis，pancreas pseudocyst is the most common complication of chronic pancreatitis. Primary diagnosis of chronic pancreatitis means rely on imaging,including abdominal B Ultrasound and abdominal CT examination have goodconsistency. Autoimmune pancreatitis as chronic pancreatitis is a kind of special type,receiving increasing attention in recent years, confirmed cases increase year by year,but in chronic pancreatitis proportion in smaller.