【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。更多还原

【Abstract】 phincter of Oddi(SO) is a complexneuromuscular structure by neural and humoral control. SOplays a major role in the occurrence and development ofhepatic bile duct stones. The damage of sphincter of Oddi canlead to serious reflux cholangitis,recurrence of bile ductstones and bile duct cancer sometimes. Indications of EST forthe treatment of extrahepatic bile duct stones must be strictlycontrolled for the protection of the normal structure andfunction of the sphincter of Oddi. Surgeons must be careful inthe treatment of bile duct stones with biliary entericanastomosis.更多还原