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1、Oddi括约肌运动功能障碍的诊断和治疗司丽娟,任建林,董菁,厦门大学附属中山医院消化内科,厦门大学消化疾病研究所福建省厦门市361004任旭,黑龙江省消化病医院黑龙江省哈尔滨市150001迟宝荣,吉林大学第一医院消化内科吉林省长春市130021作者贡献分布:此课题由司丽娟、任旭教授设计并完成操作;由司丽娟、董菁、任建林教授撰写;迟宝荣教授修改审核.通讯作者:迟宝荣,130021,吉林省长春市,长春市新民大街1号,吉林大学第一医院消化内科.baorong_chi@yahoo.com电话: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括约肌运动功能障碍(SOD)是临床较难诊断和治疗的疾病之一.SOD诊断方法较多,但尚缺乏敏感性及特异性的诊断方法.目前认为Oddi括约肌
