摘要慢性胰腺炎在组织病理学领域,是一种已经具有详细定义的疾病,但对于临床诊断来说,绝大多数病人并无组织切片.因此对于临床病史可疑的病人,影像学检查程序及补充性胰腺功能试验成为主要的诊断方法.正确诊断慢性胰腺炎对于晚期病人十分容易,但对于早期病人则较为困难.在该疾病早期病人中,内窥镜逆行性胰管造影(ERP)、及内镜超声(EUS)均是准确可靠的诊断方法.是否EUS优于ERP必须通过进一步研究证实.由于常规的非插管性功能试验,对于轻度及中度胰腺外分泌功能不足诊断准确率不满意,所以胰腺外分泌功能评估仅仅是形态学评估的补充.

abstractsChronic pancreatitis is a well-defined disease on histopathological grounds, but for clinical purpose diagnosis is mostly made without histological specimens. Imaging procedures and complementary pancreatic function tests are therefore the diagnostic main-stay in patients with a suggestive clinical history. The correct diagnosis of chronic pancreatitis is easy in late stages but difficult in early stages of the disease.In these early stages of the disease both, endoscopic retrograde pancreatography (ERP), and endoscopic ultrasonography (EUS) are methods with reliable diagnostic accuracy. Whether EUS is superior to ERP must be evaluated by further studies.Evaluation of exocrine pancreatic function is only complementary to morphological evaluation, due to the fact that common tubeless function tests do not detect mild to moderate exocrine pancreatic insufficiency with adequate accuracy.