Yuasa N, Nimura Y, Yasui A, Akita Y, Odani K
First Department of Surgery, Nagoya University School of Medicine, Japan.
Dig Dis Sci. 1994 Feb;39(2):257-67. doi: 10.1007/BF02090195.
The motility of the sphincter of Oddi was measured by percutaneous transhepatic manometry of the sphincter of Oddi (PTMSO) in three groups of 57 patients with bile duct stones. The three groups were: (1) cholecystectomy group (N = 10)--patients with common bile duct stones (CBDS) who had already undergone cholecystectomy; (2) noncholecystectomy group (N = 37)--patients with CBDS who had not undergone cholecystectomy; and (3) intrahepatic stone (IHS) group (N = 10). The basal pressure, amplitude, frequency, and propagation direction of contraction waves and the response to cerulein injection or dried egg yolk ingestion were analyzed and compared among these groups. No significant differences in the basal pressure, amplitude, frequency, and propagation direction of the contraction waves were found among the three groups. There were also no differences in the response to cerulein or dried egg yolk ingestion. The frequency and duration of the burst contractions occurring in duodenal phase III of the migrating motor complex were significantly higher (P < 0.05) in the cholecystectomy group than in the other two groups. These two differences in the burst contractions may be ascribed to the absence of the gallbladder.
通过经皮经肝Oddi括约肌测压法（PTMSO）对三组共57例胆管结石患者的Oddi括约肌运动功能进行了测量。这三组分别为：（1）胆囊切除组（N = 10）——已接受胆囊切除术的胆总管结石（CBDS）患者；（2）未行胆囊切除组（N = 37）——未接受胆囊切除术的CBDS患者；（3）肝内结石（IHS）组（N = 10）。对这些组间收缩波的基础压力、幅度、频率和传播方向以及对注射蛙皮素或摄入干蛋黄的反应进行了分析和比较。三组之间在收缩波的基础压力、幅度、频率和传播方向上未发现显著差异。对蛙皮素或摄入干蛋黄的反应也无差异。移行性运动复合波十二指肠III期出现的爆发性收缩的频率和持续时间在胆囊切除组中显著高于其他两组（P < 0.05）。爆发性收缩的这两个差异可能归因于胆囊缺失。
