Partington P F
Surg Gynecol Obstet. 1977 Aug;145(2):161-8.
A 23 year experience with papillotomy, sphincterotomy and sphincteroplasty for stenosis of the sphincter of Oddi shows sphincteroplasty to be the best procedure, with 79% of the patients obtaining a good result. The procedure was done for a demonstrable organic change in the sphincter, often associated with acute cholecystitis in older patients, the postcholecystectomy syndrome in those in whom a long cystic stump had been left at the first operation or in patients with chronic recurring pancreatitis. The study included 138 private patients observed from two months to 22 years. There were four postoperative deaths, an operative mortality of 2.9%, as two patients had been operated upon twice. The poor results were associated with recurring attacks of pancreatitis not cured by the procedure or developing subsequent to it, probably being attributable to persistent obstruction of the terminal part of the pancreatic duct. The results suggest that sphincteroplasty, if performed on suitably selected patients, is a safe procedure which should give good results in more than 75% of the patients.
对Oddi括约肌狭窄行乳头切开术、括约肌切开术和括约肌成形术的23年经验表明，括约肌成形术是最佳手术方法，79%的患者取得了良好效果。该手术适用于括约肌有明显器质性改变的情况，常见于老年患者的急性胆囊炎、首次手术时留下长胆囊残端的患者的胆囊切除术后综合征或慢性复发性胰腺炎患者。该研究纳入了138例私人患者，观察时间为2个月至22年。术后有4例死亡，手术死亡率为2.9%，因为有2例患者接受了两次手术。效果不佳与术后胰腺炎反复发作未愈或术后发生有关，可能是由于胰管末端持续梗阻所致。结果表明，括约肌成形术如果应用于适当选择的患者，是一种安全的手术，超过75%的患者应能取得良好效果。
