关键词：奥狄氏括约肌；运动
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【摘要】 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。
【中图分类号】 R657.4 【文献标识码】 A
【文章编号】 1007-9424(2000)03-0199-03
ADVANCE AND CLINICAL SIGNIFICANCE IN
THE RESEARCH OF ODDI′S SPHINCTER MOTILITY
REN Wei, SHI De.
( Department of General Surgery, The First Affiliated Hospital,
Chongqing University of Medical Sciences, Chongqing 400016)
【 Abstract】 Objective To review the studies on Oddi′s sphincter motility in recent years. Methods 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. Results 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. Conclusion The sphincter of Oddi dysfunction can be treated with endoscopic sphincterotomy. Preservation of sphincter function is stressed in surgery.
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