摘要
①目的探讨Oddi括约肌蠕动方向及胆总管远端生理狭窄段长度与胆石病成因的关系。②方法对106例胆石病患者进行内镜下逆行胰胆管造影术(ERCP),观察胆管奥狄括约肌(SO)蠕动方向,胆、胰管末端进入十二指肠的类型,胆总管远端生理狭窄段(NDS)的长度。③结果106例患者中57例SO蠕动方向出现异常改变(53.4%);76例NDS长度≥10mm(71.7%);共同通道者65例(61.3%),非共同通道者41例。76例NDS长度≥10mm者中SO蠕动方向出现异常者69例(90.8%);65例共同通道患者中,34例SO蠕动方向有异常改变(52.3%);41例非共同通道患者中,23例SO蠕动方向有异常改变(56.1%)。④结论胆石病的形成与SO蠕动方向异常及NDS长度过长密切相关,与胰胆管共同通道无明显关系;而NDS长度过长是SO蠕动方向异常改变的重要原因。
Objective To investgate the the relation ship between cholelithiasis and Oddi sphincter peristalsis heading and the narrow distal segment（NDS） length. Methods 106 patients with cholelithiasis were performed endoscopic retrograde cholangio- panereatography（ERCP） test, their peristalsis heading of bile duct Sphincter of Oddi（ SO）, the style of gallbladder pancreatic duct terminal accessing duodenal and physiological narrow distal segment length were observed. Results In 106 patients,SO peristalsis heading change was 57 cases（53.4% ） , and NDS length was.≥ 10mm was 76 cases （71.7%）. the common channels of ductus pancreaticus and bile duct were 65cases（61.3% ） ,non common channels ductus pancreaticus and bile duct were41 cases . In 76 patients of NDS lenth≥10mm, wrigglling direction were unusual 69 cases（90.8% ） ; In 65 patients , SO wriggles direction were unusual 34 cases（52.3% ） ;23 cases of 41 patiets whose SO wriggles direction were unusual（56.1% ）. Conclusion The cause of cholelithiasis is closely correlated with the SO wriggle direction and the NDS length, there are no obvious relations whether ductus pancreafieus and bile duct are the common channels or not;The important reason of SO peristalsis heading changes is the NDS is too long.
出处
《华北煤炭医学院学报》
2006年第6期745-746,共2页
Journal of North China Coal Medical College
基金
江苏省徐州市科技局计划项目
关键词
胆石病
奥狄括约肌
胆总管
生理狭窄段
Cholelithiasis. Oddi sphincter. Gallbladder main pipe. Physiological narrow section
