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一个有争议的问题:胆管炎中的Oddi括约肌切开术

[A controversial problem: Oddi sphincterotomy in cholangitis].

作者信息

Burlui D, Brătucu E, Bobocescu E

出版信息

Rev Chir Oncol Radiol O R L Oftalmol Stomatol Chir. 1981 Sep-Oct;30(5):341-50.

PMID:6461032
Abstract

The classical treatment of angiocholitis consists in desobstruction of the hepatic choledocus duct followed by external biliary drainage. However, this technique is unsuccessful in 66% of the cases, and this leads to difficult surgical reinterventions. In our casuistics are included 196 suppurated angiocholitis of various etiologies : lithiasis, hidatic cyst, post-hidatic angiocholitis, pure oddian angiocholitis etc. The Oddian component is present in a remarkable high number of cases (66%) and this is the reason why neglecting sphincterotomy may be followed by unfavourable results. In the paper the authors present their viewpoint, and the results of 128 interventions on the Oddi sphincter in patients with angiocholitis.

摘要

胆管炎的传统治疗方法是先解除肝外胆管梗阻,然后进行外引流。然而,该技术在66%的病例中不成功,这导致了困难的再次手术干预。我们的病例记录包括196例各种病因的化脓性胆管炎:结石、肝包虫囊肿、肝包虫病后胆管炎、单纯奥狄括约肌胆管炎等。奥狄括约肌成分在相当高比例的病例中存在(66%),这就是为什么忽视括约肌切开术可能会导致不良后果的原因。本文作者阐述了他们的观点,以及对胆管炎患者进行128次奥狄括约肌干预的结果。

相似文献

1
[A controversial problem: Oddi sphincterotomy in cholangitis].一个有争议的问题:胆管炎中的Oddi括约肌切开术
Rev Chir Oncol Radiol O R L Oftalmol Stomatol Chir. 1981 Sep-Oct;30(5):341-50.
2
[Oddi's sphincterotomy in treatment of primary sclerous cholangitis].内镜下十二指肠乳头括约肌切开术治疗原发性硬化性胆管炎
Rev Chir Oncol Radiol O R L Oftalmol Stomatol Chir. 1981 May-Jun;30(3):191-8.
3
Sphincterotomy (Oddi): analysis of 577 cases.括约肌切开术(奥迪括约肌):577例分析。
Int Surg. 1976 Sep;61(9):474-8.
4
[Oddian sphincterotomy for the treatment of primary sclerosing cholangitis].Oddi括约肌切开术治疗原发性硬化性胆管炎
Chirurgie. 1982;108(10):846-53.
5
[Sclerodystrophy of the sphincter of Oddi (author's transl)].
J Chir (Paris). 1978 Oct;115(10):489-96.
6
[Indication for sphincterotomy in the treatment of biliary lithiasis].
Nouv Presse Med. 1976 Dec 18;5(43):2949-51.
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[Oddi's sphincterotomy or sphincteroplasty. Considerations on the results obtained with a personal sphincteroplasty technic].[奥迪括约肌切开术或括约肌成形术。关于采用个人括约肌成形术技术所获结果的思考]
Rev Chir Oncol Radiol O R L Oftalmol Stomatol Chir. 1982 Mar-Apr;31(2):131-40.
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[Reinterventions in evolutive oddipathies after cholecystectomy for lithiasis. 31 cases (author's transl)].[胆囊结石胆囊切除术后进展性Oddi括约肌疾病的再次干预。31例(作者译)]
J Chir (Paris). 1980 Nov;117(11):655-9.
9
[Role of large sphincterotomy in surgery for common bile duct lithiasis without external biliary drainage].[大括约肌切开术在无外引流的胆总管结石手术中的作用]
Chirurgie. 1983;109(2):173-4.
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[Role of large sphincterotomy in the surgery of common bile duct lithiasis without external biliary drainage].[大括约肌切开术在无外引流的胆总管结石手术中的作用]
Chirurgie. 1982;108(5):402-6.