Brandstätter G, Kratochvil P, Stupnicki T, Zenker G, Justich E, Resch M
Wien Klin Wochenschr. 1982 Sep 17;94(17):447-50.
Reproducible results were obtained by endoscopic transpapillary pressure measurements with the help of a constantly perfused catheter. Manometric measurements were performed in 51 patients without any premedication. 14 patients with a normal biliary system were compared with 17 patients after cholecystectomy, 14 patients with stones in the common bile duct and 6 patients after papillotomy. Although there were significant differences in the diameter of the common bile duct in the four groups, only the papillotomized patients demonstrated a distinct change of the pressure in the bile duct. In these patients almost no pressure gradient existed between the biliary ducts and the duodenum. On the other hand, there was an increase in intraluminal pressure in the 2 patients with papillary stenosis. Endoscopic manometric measurements in the common bile duct are indicated to obtain reliable data on stenosis of the papilla duodeni, insufficient papillotomy or recurrent stenosis.
借助持续灌注导管进行内镜下经乳头压力测量可获得可重复的结果。对51例未进行任何术前用药的患者进行了测压测量。将14例胆道系统正常的患者与17例胆囊切除术后患者、14例胆总管结石患者和6例乳头切开术后患者进行了比较。尽管四组患者的胆总管直径存在显著差异，但只有乳头切开术患者的胆管压力出现了明显变化。在这些患者中，胆管与十二指肠之间几乎不存在压力梯度。另一方面，2例乳头狭窄患者的管腔内压力升高。胆总管内镜测压测量有助于获取有关十二指肠乳头狭窄、乳头切开术不足或复发性狭窄的可靠数据。
