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1、Oddi括約肌運(yùn)動功能障礙的診斷和治療司麗娟,任建林,董菁,廈門大學(xué)附屬中山醫(yī)院消化內(nèi)科,廈門大學(xué)消化疾病研究所福建省廈門市361004任旭,黑龍江省消化病醫(yī)院黑龍江省哈爾濱市150001遲寶榮,吉林大學(xué)第一醫(yī)院消化內(nèi)科吉林省長春市130021作者貢獻(xiàn)分布:此課題由司麗娟、任旭教授設(shè)計并完成操作;由司麗娟、董菁、任建林教授撰寫;遲寶榮教授修改審核.通訊作者:遲寶榮,130021,吉林省長春市,長春市新民大街1號,吉林大學(xué)第一醫(yī)院消化內(nèi)科.baorong_chi@yahoo.com電話:0431-5612437收
2、稿日期:2007-08-27修回日期:2007-12-06DiagnosisandtreatmentofOddisphincterdyskinesiaLi-JuanSi,Jian-LinRen,JingDong,XuRen,Bao-RongChiLi-JuanSi,Jian-LinRen,JingDong,DepartmentofGastroenterology,ZhongshanHospitalofXiamenUniversity,GastroenterologyInstituteofXiamenUniver
3、sity,Xiamen361004,FujianProvince,ChinaXuRen,DigestiveDiseaseHospitalofHeilongjiangProvince,Harbin150001,HeilongjiangProvince,ChinaBao-RongChi,DepartmentofGastroenterology,theFirstHospitalofJilinUniversity,Changchun130021,JilinPro-vince,ChinaCorrespondenceto:
4、Bao-RongChi,DepartmentofGastroenterology,theFirstHospitalofJilinUniversity,1XinminStreet,Changchun130021,JilinProvince,China.baorong_chi@yahoo.comReceived:2007-08-27Revised:2007-12-06AbstractOddisphincterdyskinesiaisadigestivediseasewhichisdifficulttodiagnos
5、eintimeandtreatproperly.AlthoughsomemethodscanbeusedtodiagnoseOddisphincterdyskinesia,noconvenientmethodwithahighsensitivityisavailableatpresent.OddisphinctermanometryisconsideredagoldendiagnosticstandardforOddisphincterdyskinesia.However,ithasnotbeenwidelyu
6、sedinclinicalpractice,becauseitisinaccurateandunfaithfulandoftenleadstoseverecomplications.OnlyfewpatientswithOddisphincterdyskinesiacouldbetreatedwithchemicaldrugs.Atpresent,endoscopicsphincterotomy(EST)isthebestchoiceoftreatmentforOddisphincterdyskinesia.T
7、hispaperdiscussestheroleofOddisphinctermanometryandESTintreatmentofOddisphincterdyskinesia.Somepatientsneedtoundergotransduodenalsphicteroplastyoranastomosisofbileductwithintestine.KeyWords:Oddisphincterdyskinesia;Oddisphinctermanometry;Endoscopicsphincterot
8、omySiLJ,RenJL,DongJ,RenX,ChiBR.DiagnosisandtreatmentofOddisphincterdyskinesia.ShijieHuarenXiaohuaZazhi2008;16(2):192-198摘要Oddi括約肌運(yùn)動功能障礙(SOD)是臨床較難診斷和治療的疾病之一.SOD診斷方法較多,但尚缺乏敏感性及特異性的診斷方法.目前認(rèn)為Oddi括約肌
