胆总管下端奥狄氏括约肌运动的研究进展及其临床意义

ADVANCE AND CLINICAL SIGNIFICANCE IN THE RESEARCH OF ODDI′S SPHINCTER MOTILITY

目的 回顾近年来对奥狄氏括约肌运动的研究进展。方法 通过肌电图、动态肝胆扫描照相、内镜测压、实验室检查等手段探讨和评价奥狄氏括约肌的正常与异常运动。结果 内镜测压术是临床上鉴别奥狄氏括约肌正常和异常运动的金标准 ;某些外科手术或药物等会干扰其正常运动 ,引起奥狄氏括约肌运动紊乱症。结论 内镜切开括约肌是治疗奥狄氏括约肌运动紊乱症的重要措施 ;在外科实践中应重视对奥狄氏括约肌功能的保留。

Objective [WT5”BZ]To review the studies on Oddi′s sphincter motility in recent years. [WT5”HZ]Methods [WT5”BZ]The studies on exploration and evaluation of normal or abnormal Oddi′s sphincter motility by means of electromyography, dynamic hepatobiliary scintigraphy, endoscopic manometry, and laboratory tests were reviewed. [WT5”HZ]Results [WT5”BZ]Endoscopic manometry was the gold standard for distinguishing normal motility from the abnormal. Some surgeries and drugs could lead to the sphincter of Oddi dysfunction. [WT5”HZ]Conclusion [WT5”BZ]The sphincter of Oddi dysfunction can be treated with endoscopic sphincterotomy. Preservation of sphincter function is stressed in surgery.