临床肝胆病杂志2017，Vol.33Issue(2)：209-212,4.DOI:10.3969/j.issn.1001-5256.2017.02.001
Oddi括约肌:从切开到修复
The sphincter of Oddi: from incision to repair
曾建平 1董家鸿1
作者信息
- 1. 清华大学附属北京清华长庚医院肝胆胰中心,北京102218
- 折叠
摘要
Abstract
The sphincter of Oddi is a valve that controls the biliopancreatic duct and plays an irreplaceable role in maintaining normal physiological functions of the biliopancreatic duct.However,sphincteroplasty and sphincterotomy may cause varying degrees of damage to the function of the sphincter of Oddi,which may further result in postoperative reflux of duodenal fluids and bacterial contamination in bile and increase the risks of recurrent common bile duct stones,reflux cholangitis,and even cholangiocarcinoma.Therefore,clinical physicians should protect the structure and function of the sphincter of Oddi.Based on our experience,under the premise that the extrahepatic bile duct can be preserved,patients with iatrogenic injury of the sphincter of Oddi can be treated with transduodenal sphincteroplasty to restore the structural integrity of the sphincter of Oddi and reduce biliopancreatic duct complications secondary to loss of function.关键词
括约肌切开术,内窥镜/奥狄括约肌功能障碍/胆道疾病/胰腺疾病/手术后并发症Key words
sphincterotomy, endoscopic/sphincter of Oddi dysfunction/biliary tract diseases/pancreatic diseases/postoperative complications分类
医药卫生引用本文复制引用
曾建平,董家鸿..Oddi括约肌:从切开到修复[J].临床肝胆病杂志,2017,33(2):209-212,4.
