【摘 要】 目的 总结胆囊切除术后急性胰腺炎的诊治体会，以改进诊治方法。 方法 对30例胆囊切除术后急性胰腺炎的临床资料进行回顾性分析。 结果 胆囊切除术后急性胰腺为经内科综合治疗能取得满意疗效，CT的诊断率较高。 结论 胆囊切除术后急性胰腺炎的发病诱因与饮食有关。其机理是由于Oddi括约肌功能失常造成十二指肠液，胆汁反流，胰液排空受阻。可合并肝脏、肾脏等其他脏器损害，内科治疗主要是恢复Oddi括约肌功能和控制感染。

    【关键词】 胆囊切除术后;Oddi括约肌;急性胰腺炎

    Diagnosis and treatment of postcholecystectomy acute pancreatitis XU Jie，WANG Li-ming.(The First Hospital of Bengbu，Anhui233000，China)

    【Abstract】 Objective To summarize our experience in diagnosis and treatment of postcholecystectomy AP and to improve the therapeutic modality.Methods 30cases of postcholecystectomy AP were analyzed retrospectively.Results The rate of diagno-sis of postcholecystectomy AP is relatively higher by CT and medical comprehensive therapy can obtain satisfying effects.Conclu┐sion The predisposing fators of postcholecystectomy AP is relative to diet.The pathologic mechanism of this disease is due to duodenal juice and bile regurgitation and pancreatic juice evacuation disturbance caused by the abnormality of Oddi's sphincter function.It can do damages to other organs such as liver and kidney etc.The most important of medical therapy is to recover Od-di's sphincter function and to control infection. ......