胆管结石患者术后经“T”管窦道胆道镜Oddi括约肌测压的表现及意义
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田 忠, 吴硕东, 孔 静, 张振海
Oddi括约肌;功能障碍;运动功能不足;胆道镜;测压田忠,吴硕东,孔静,张振海.胆管结石患者术后经“T”管窦道胆道镜Oddi括约肌测压的表现及意义. 世界华人消化杂志2006;14(11)
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田忠, 中国医科大学附属第二医院(盛京医院)第二微创胆道外科 辽宁省沈阳市 110003
吴硕东, 孔静, 张振海, 中国医科大学附属第二医院(盛京医院)第一微创胆道外科 辽宁省沈阳市 110003
通讯作者: 吴硕东, 110003, 辽宁省沈阳市, 中国医科大学附属第二医院(盛京医院)第一微创胆道外科. gall2000@tom.com
电话: 024-83955279 传真: 024-86540367
收稿日期: 2006-03-15 接受日期: 2006-04-06
Choledochoscopic manometry research of the sphincter of Oddi motility in bile duct stone patients with a T tube after operation
Zhong Tian, Shuo-Dong Wu, Jing Kong, Zhen-Hai ZhangZhong Tian, the Second Department of Micro-invasive and biliary surgery, the Second Affiliated Hospital of China Medical University, Shenyang 110003, Liaoning Province, China
Shuo-Dong Wu, Jing Kong, Zhen-Hai Zhang, the First Department of Micro-invasive and Biliary Surgery, the Second Affiliated Hospital of China Medical University, Shenyang 110003, Liaoning Province, China
Correspondence to: Shuo-Dong Wu, the First Department of Micro-invasive and Biliary Surgery, the Second Affiliated Hospital of China Medical University, Shenyang 110003, Liaoning Province, China.gall2000@tom.com
Received: 2006-03-15 Accepted: 2006-04-06
AbstractAIM:To study the sphincter of Oddi (SO) motility by choledochoscopic manometry, and to investigate the manometric appearance of sphincter of Oddi disorders and its relationship with bile duct stones.
METHODS: Two hundred and sixteet patients who had a T tube after operation were assessed by choledochoscopic manometry. SO basal pressure (SOBP), amplitude of SO contractions (SOCA), frequency of SO contractions (SOCF), duration of SO contractions (SOCD), duodenal pressure (DP), common bile duct pressure (CBDP), and the percentage of propagate directions were scored and analyzed. The patients were divided into 4 groups according to the levels of sphincter of Oddi basal pressure: group A (sphincter of Oddi hypomotility), group B (normal SOPB), group C (SOBP a little higher than normal) and group D (sphincter of Oddi dysfunction) ......
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