摘要
目的探讨胆囊切除术后Oddi括约肌功能障碍的诊断和治疗效果。方法回顾性分析10例胆囊切除术后Oddi括约肌功能障碍的临床资料,全组均施行MRCP和定量动态肝胆核素闪烁扫描、胆道排泄试验。结果 10例均经施行Oddi括约肌切开术,其中开腹Oddi括约肌切开成形术6例,内镜下Oddi括约肌切开术(EST)4例,全部治愈。结论定量动态肝胆核素闪烁扫描、胆道排泄试验和MRCP是可取的诊断方法;内镜下Oddi括约肌切开术或开腹Oddi括约肌切开成形术是有效的治疗措施。
Objective To explore the diagnosis method and treatment effect of Oddi sphincter dysfunction after cholecystectomy. Methods Clinial data of Oddi sphincter dysfunction after cholecystectomy in l0 cases were analyzed rectrospectively. MRCP and quantitative 99mTc hapetobiliary scintigraphy were performed in all cases. Results Among 10 cases of Oddi sphincterotomy, 6 cases were performed under open operation and EST were performed under endoscopy in 4 cases. All cases were cured. Conclusion Quantitative 99mTc hapetobiliary scintigraphy and MRCP are preferable diagnostic method and endoscopic Oddi sphincterotomy or open Oddi sphinteroplasty is an effective therapy.
出处
《肝胆胰外科杂志》
CAS
2013年第3期191-192,共2页
Journal of Hepatopancreatobiliary Surgery
