人体Oddi括约肌长度的测压测量
Manometric measurement of human sphincter of Oddi length.
作者信息
Habib F I, Corazziari E, Biliotti D, Primerano L, Viscardi A, Speranza V, De Masi E, Fegiz G, Torsoli A
机构信息
Cattedra di Gastroenterologia I, Università La Sapienza Roma, Italy.
出版信息
Gut. 1988 Jan;29(1):121-5. doi: 10.1136/gut.29.1.121.
Length of biliary (CBD) and/or pancreatic (PD) sphincter of Oddi (SO) was measured during perendoscopic or intraoperative manometry in 21 control subjects and in 46 patients with biliary disease. When the high resting pressure (HPZ) and the phasic wave zone (PAZ) were considered, SO length was, in the control group, 9.5 +/- 0.5 mm (M +/- SE) and 9.4 +/- 0.6 mm at the level of the CBD-SO, and 7.7 +/- 0.6 mm and 6.9 +/- 0.5 mm at the level of the PD-SO. The physiological sphincter length appeared substantially shorter than the anatomical one, as reported in the literature. No significant differences were found between controls and patients with CBD stones. Endoscopic sphincterotomy without manometry reduced mean sphincter length length of the sphincterotomy was tailored to the manometric findings. Surgical partial sphincterotomy reduced sphincter length by only 46.7 +/- 10.3%.
在21名对照受试者和46例胆道疾病患者的经内镜或术中测压过程中，测量了Oddi括约肌（SO）的胆管（CBD）和/或胰管（PD）段长度。当考虑高静息压区（HPZ）和相波区（PAZ）时，对照组在CBD-SO水平的SO长度为9.5±0.5mm（均值±标准误）和9.4±0.6mm，在PD-SO水平为7.7±0.6mm和6.9±0.5mm。如文献报道，生理性括约肌长度明显短于解剖学长度。在对照组和CBD结石患者之间未发现显著差异。未进行测压的内镜括约肌切开术使平均括约肌长度缩短，括约肌切开术的长度根据测压结果进行调整。手术部分括约肌切开术仅使括约肌长度缩短46.7±10.3%。
Zotero 插件