Oddi括约肌功能障碍研究的认识与进展
Understanding and Progress of Research on Oddi Sphincter Dysfunction
DOI: 10.12677/ACM.2021.116370, PDF,   
作者: 武金都:青海大学研究生院,青海 西宁;刘林勋*:青海省人民医院,青海 西宁
关键词: Oddi括约肌生理Oddi括约肌功能障碍及治疗Oddi Sphincter Physiology Oddi Sphincter Dysfunction and Treatment
摘要: Oddi括约肌(sphincter Oddi, SO)是由胆总管及胰管末端大量平滑肌纤维所组成,具有维持胆汁正常排出,防止十二指内容物反流等重要功能。Oddi括约肌功能障碍(sphincter Oddi dysfunction, SOD)是指胆管和(或)胰管括约肌结构或功能异常引起的一系列临床综合征。本文对Oddi括约的生理功能、解剖及SOD的诊断及治疗作一阐述。
Abstract: The Oddi sphincter is composed of a large number of smooth muscle fibers at the end of the common bile duct and pancreatic duct. It has important functions such as maintaining the normal discharge of bile and preventing the reflux of the contents of the duodenum. Oddi sphincter dysfunction (SOD) refers to a series of clinical syndromes caused by abnormal structure or function of the bile duct and/or pancreatic duct sphincter. This article describes the physiological functions, anatomy, diagnosis and treatment of SOD.
文章引用:武金都, 刘林勋. Oddi括约肌功能障碍研究的认识与进展[J]. 临床医学进展, 2021, 11(6): 2572-2575. https://doi.org/10.12677/ACM.2021.116370

参考文献

[1] Leung, W.D. and Sherman, S. (2013) Endoscopic Approach to the Patient with Motility Disorders of the Bile Duct and Sphincter of Oddi. Gastrointestinal Endoscopy Clinics of North America, 23, 405-434. [Google Scholar] [CrossRef] [PubMed]
[2] 刘东. 胆囊切除术后Oddi括约肌功能障碍(SOD)的诊断与治疗——附18例临床分析[J]. 疾病监测与控制, 2012, 6(6): 375-376.
[3] Lehman, G.A. (1991) Endoscopic Sphincter of Oddi Manometry: A Clinical Practice and Research Tool. Gastrointestinal Endoscopy, 37, 490-492. [Google Scholar] [CrossRef
[4] Lans, J.L., Parikh, N.P. and Geenen, J.E. (1991) Application of Sphincter of Oddi Manometry in Routine Clinical Investigations. Endoscopy, 23, 139-143. [Google Scholar] [CrossRef] [PubMed]
[5] Kumar, S., Agrawal, M., Bhartiya, S.K., Basu, S. and Shukla, V.K. (2015) Sphincter of Oddi Disorder (SOD): Is it Necessary to Investigate and Treat?. Tropical Gastroenterology: Official Journal of the Digestive Diseases Foundation, 36, 145-155. [Google Scholar] [CrossRef] [PubMed]
[6] 胡义亭, 许玉芳, 赵娜, 贾彩云, 贾桂丛, 苏少慧. 胆囊切除术后综合征的研究现状[J]. 临床消化病杂志, 2021, 33(2): 144-147.
[7] 张松柏, 郭晓华, 王志刚, 李云. 胆囊切除术后Oddi括约肌功能障碍的内镜治疗[J]. 中国微创外科杂志, 2008(9): 803-804.
[8] Cheon, Y.K., Lee, T.Y., Kim, S.N., et al. (2017) Impact of Endoscopic Papillary Large-Balloon Dilation on Sphincter of Oddi Function: A Prospective Randomized Study. Gastrointestinal Endoscopy, 85, 782-790.e1. [Google Scholar] [CrossRef] [PubMed]
[9] 陆新良, 梁廷波. EST治疗中Oddi括约肌功能的保护及其意义[J]. 中国实用外科杂志, 2017, 37(8): 871-873.
[10] Liang, T., Su, W., Zhang, Q., Li, G., Gao, S.., Lou, J., Zhang, Y. and Bai X. (2016) Roles of Sphincter of Oddi Laxity in Bile Duct Microenvironment in Patients with Cholangiolithiasis: From the Perspective of the Microbiome and Metabolome. Journal of the American College of Surgeons, 222, 269-280. e10. [Google Scholar] [CrossRef] [PubMed]
[11] 张强, 吴硕东, 王伟. 吗啡、山莨菪碱及硫酸镁对Oddi括约肌压力的影响[J]. 解剖科学进展, 2008(2):161-164.
[12] DiSomma, C., Reboa, G., Patrone, M.G., Mortola, G.P., Sala, G. and Ciampini, M. (1986) Effects of Pinaverium Bromide on Oddi's Sphincter. Clinical Therapeutics, 9, 119-122.
[13] 刘锦坤, 汪丽燕. 内镜下乳头括约肌切开术治疗Oddi括约肌功能障碍的研究进展[J]. 医学理论与实践, 2021, 34(7): 1109-1111+1114.