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十二指肠镜联合胆道镜检测Oddi括约肌功能的临床意义
引用本文:许红兵,李虎城,黄辉,邹一平.十二指肠镜联合胆道镜检测Oddi括约肌功能的临床意义[J].中国微创外科杂志,2002,2(Z1):55-56.
作者姓名:许红兵  李虎城  黄辉  邹一平
作者单位:解放军第309医院肝胆外科,北京,100091
摘    要:目的 采用术前十二指肠镜联合术中胆管造影 (IOC)检测Oddi括约肌功能 ,以决定肝管结石手术方式。 方法 对 319例拟诊为胆管结石者 ,术前十二指肠镜检查十二指肠乳头 ,实施逆行胰胆管造影 (ERCP) ,IOC检查十二指肠乳头与括约肌。 结果 Oddi括约肌功能检测为“优”者 79例 ,“良”者 15 2例 ,“差”者 88例。 结论 对肝胆管结石者应根据括约肌功能的优劣 ,合理选择是否保留括约肌的手术方式。

关 键 词:十二指肠镜  胆道镜  Oddi括约肌
文章编号:1009-6604(2002)-0055-02

Clinical significance of duodenoscopy combined with choledochoscopy in the test of the functions of Oddi's sphincter
Xu Hongbing,Li Hucheng,Huang Hui,et al..Clinical significance of duodenoscopy combined with choledochoscopy in the test of the functions of Oddi''''s sphincter[J].Chinese Journal of Minimally Invasive Surgery,2002,2(Z1):55-56.
Authors:Xu Hongbing  Li Hucheng  Huang Hui  
Institution:Xu Hongbing,Li Hucheng,Huang Hui,et al. Department of Hepatobiliary Surgery,309th Hospital of PLA,Beijing 100091,China
Abstract:Objective To determine operation procedure according to Oddi's sphincter functions decteted by preoperative duodenoscopy combined with intraoperative choledochoscopy (IOC). Methods The duodenal papillae and Oddi's sphincter functions of 319 cases with hepatobiliary calculus were detected by preoperative duodenoscopy, ERCP and IOC. Results As for the functions of Oddi's sphincter, 79 cases were superior, 152 cases favorable and 88 cases poor. Conclusions For patients with hepatobiliary calculus whether Oddi's sphincter is reserved according to the Oddi's sphincter function.
Keywords:Duodenoscopy  Choledochoscopy  Oddi's sphincter
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