中国实用外科杂志

中国实用外科杂志

• 专题笔谈 • 上一篇    下一篇

肝胆管结石术中Oddi括约肌保护的意义及措施

李桂臣   

  1. 中国医科大学附属第一医院肝胆外科暨器官移植科，辽宁沈阳110001
  • 出版日期:2016-03-01 发布日期:2016-03-01

  • Online:2016-03-01 Published:2016-03-01

摘要：

Oddi 括约肌为一受神经和体液支配的复杂的调节装置，在肝胆管结石的发生发展中起着重要的作用。损伤Oddi括约肌可导致严重的反流性胆管炎，肝胆管结石复发以及胆管癌的发病率升高。为保护Oddi括约肌的正常结构和功能，一定要严格把握内镜下括约肌切开术（EST）治疗肝外胆管结石的指征，禁忌应用EST治疗伴有肝内胆管狭窄的肝内胆管结石。谨慎应用胆肠吻合治疗肝胆管结石。

关键词: Oddi括约肌, 反流性胆管炎, 肝胆管结石

Abstract:

Significance and measures of the sphincter of oddi preservation in the operation of hepatic bile duct stones             LI Gui-chen. Department of General Surgery，the First Hospital of China Medical University，Shenyang110001，China
Abstract    Sphincter of Oddi (SO) is a complex neuromuscular structure by neural and humoral control. SO plays a major role in the occurrence and development of hepatic bile duct stones. The damage of sphincter of Oddi can lead to serious reflux cholangitis，recurrence of bile duct stones and bile duct cancer sometimes. Indications of EST for the treatment of extrahepatic bile duct stones must be strictly controlled for the protection of the normal structure and function of the sphincter of Oddi. Surgeons must be careful in the treatment of bile duct stones with biliary enteric anastomosis.

Key words: sphincter of Oddi, reflux cholangitis；hepatolithiasis