【摘要】 目的评估内镜下乳头括约肌切开术(EST)对胆型Oddi括约肌功能紊乱(SOD)的疗效。方法对临床确诊为胆型SOD的23例患者行EST治疗。结果经EST治疗的23例胆型SOD患者中,胆I型的10例,术后疼痛消失的9例,缓解1例;胆II型13例,术后疼痛消失的7例,术后疼痛缓解的2例,无效的4例。平均随访35个月。接受EST治疗后,23例患者的血清转氨酶和碱性磷酸酶均恢复正常。结论EST为治疗胆型SOD的安全、有效方法。更多还原

【Abstract】 Objective] To evaluate the efficacy of endoscopic sphincterotomy (EST) in patients with biliary Sphincter of Oddi Dysfunction (SOD). [Methods] 23 patients clinically diagnosed as biliary SOD were treated by endoscopic sphincterotomy (EST). [Results] EST was successfully performed in 23 patients. Biliary type I 10 patients (100%) was effective, Biliary type II 9 patients (69.2%) was effective and 4 patients (30.7%) was ineffective, The average length of follow-up period was 35 months. Post-EST, All the patient’s elevation of transaminases and alkaline phosphatase resumed normal. [Conclution] EST is an effective and safe operation for treatment of biliary sphincter of Oddi dysfunction.更多还原