内镜下乳头球囊扩张术致Oddi括约肌损伤的研究进展  

Research advances in the impairment of Oddi sphincter function caused by endoscopic papillary balloon dilation

作　　者：杨瑶[1] 傅燕[1] 叶磊[1] YANG Yao;FU Yan;YE Lei(Department of Gastroenterology,the Second Affiliated Hospital of Kunming Medical University,Kunming 650101,China)

机构地区：[1]昆明医科大学第二附属医院消化内科,云南昆明650101

出　　处：《胃肠病学和肝病学杂志》2022年第12期1437-1440,共4页Chinese Journal of Gastroenterology and Hepatology

摘　　要：尽管内镜下Oddi括约肌切开术能够有效治疗大部分的胆管结石症,但其术后并发症多,括约肌功能损伤严重等问题深扰医师与患者。而内镜下乳头球囊扩张术的出现,采取球囊扩张括约肌的方式避免了破坏Oddi括约肌的完整性,由此减少术后并发症的发生,为结石患者带来了福音。但目前对于球囊对括约肌的无损伤效果仍具有争议,本文概述了内镜下乳头球囊扩张术致Oddi括约肌功能损伤的研究现状,多角度综合分析,探求该取石术在临床的适用性与安全性。Although endoscopic sphincterotomy can effectively treat most bile duct stones,many postoperative complications and serious sphincter function damage deeply disturb doctors and patients.With the emergence of endoscopic papillary balloon dilatation,balloon dilatation of sphincter can avoid damaging the integrity of Oddi sphincter,so as to reduce the occurrence of postoperative complications and bring good news to stone patients.However,the non-invasive effect of balloon on sphincter is still controversial.This article reviewed the research advances in the impairment of endoscopic papillary balloon dilation,and makes a comprehensive analysis from multiple angles to explore the clinical applicability and safety of this lithotomy.

关 键 词：胆总管结石 内镜下乳头球囊扩张术 ODDI括约肌 

分 类 号：R576[医药卫生—消化系统]