Department of Medicine, CSC Health, 767 North Hill Street Suite 200, Los Angeles, CA 90012, USA; Department of Surgery, Cedars-Sinai Medical Center, 8635 West 3rd Street, Suite 650W, Los Angeles, CA 90048, USA.
Department of Surgery, Cedars-Sinai Medical Center, 8635 West 3rd Street, Suite 650W, Los Angeles, CA 90048, USA.
Surg Clin North Am. 2024 Dec;104(6):1191-1201. doi: 10.1016/j.suc.2024.04.007. Epub 2024 May 16.
Biliary dyskinesia refers to a group of functional and motility disorders of the biliary system in patients presenting with typical biliary pain, but without any visible structural abnormalities on standard imaging. The Rome IV Criteria establishes diagnostic criteria for functional gallbladder disorder (gallbladder dyskinesia and biliary hyperkinesia), functional biliary sphincter of Oddi disorder (biliary dyskinesia), and pancreatic sphincter of Oddi disorder. Many diagnostic adjuncts such as hepatobiliary scintigraphy and sphincter of Oddi manometry exist, although these results are supportive and not necessarily diagnostic for biliary dyskinesia. Surgical intervention is most successful when selecting for patients with typical biliary pain.
胆系运动障碍是指一组患者出现典型胆绞痛但标准影像学未见任何可见结构异常的胆系功能和运动障碍。罗马 IV 标准建立了功能性胆囊疾病（胆囊运动障碍和胆系高动力）、Oddi 胆道口功能性括约肌障碍（胆系运动障碍）和 Oddi 胰管功能性括约肌障碍的诊断标准。虽然存在许多辅助诊断方法，如肝胆闪烁显像和 Oddi 括约肌测压术，但这些结果对胆系运动障碍有支持作用，但不一定具有诊断意义。当选择有典型胆绞痛的患者时，手术干预最为成功。
