摘要
为探明乳头括约肌切开术(EST)切口大小对生理功能的影响,对32例胰胆疾病患者检测了EST前后Oddi括约肌(SO)压力、胰管压、胆管压,结果表明:EST前后压力变化大小,取决于切开范围大小。文献报道大切开(切口>2.5cm)SO压降至0,胰胆管压也略有下降。该32例采取中切开(切口1.5-2.0cm),切开前SO压为1.54±0.23kPa-1.92±0.45kPa,切开后降至0.68±0.20kPa-1.22±0.33kPa,胰胆管压切开前后变化不大。从保护器官生理功能来看,胰胆疾病者作EST切口大小应适可而止,SO压不宜降至0,除非有特殊需要,一般不宜提倡作大切开。
In order to study the effect on physiological function of the sphincter of Oddi(SO ) which results from the range of incision of endoscopic sphincterotomy (EST ) , Pressures of SO ,pancreatic duct ( PD) and common bile duct .CBD) were deteted before and after EST in 32 cases with various biliary and/or pancriatic disease. The results showed that the changes of pressures before and after EST in mid- dle range group(1. 5-2. 0cm) was 1. 54±0. 23kPa-1. 92±0. 45kPa.0. 68±0. 20kPa-1. 22 ±0. 33kPa respectively. There was significant difference in the pressors of SO before and after EST ,but no difference showed in the CBD and PD,while pressure of SO fell to 0 in large range EST group(>2. 5cm) after EST. The results indicated that large range EST should not be performed so as to protect the normal function of SO except for some especial purposes.
出处
《中华消化内镜杂志》
1996年第5期259-261,共3页
Chinese Journal of Digestive Endoscopy
关键词
胰胆疾病
乳头括约肌切开术
测压术
Various biliary and pancreatic desease Endoscopic sphincterotomy Manometry