中华消化外科杂志
中華消化外科雜誌
중화소화외과잡지
CHINESE JOURNAL OF DIGESTIVE SURGERY
2011年
3期
203-205
,共3页
许兆龙%陈飞%刘永康%李智华
許兆龍%陳飛%劉永康%李智華
허조룡%진비%류영강%리지화
胆石症%Oddi括约肌%电生理
膽石癥%Oddi括約肌%電生理
담석증%Oddi괄약기%전생리
Cholelithiasis%Sphincter of Oddi%Electrophysiology
目的 研究肝胆管结石患者胆总管切开取石术后Oddi括约肌(SO)肌电的特点,旨在寻找临床研究、检测SO功能的新方法.方法 对2010年1月至10月在第三军医大学西南医院复诊的33例行胆总管切开取石术的肝胆管结石患者经T管窦道胆道镜辅助行SO压力与肌电检测,根据SO测压结果将33例患者分为低压力组、正常压力组及高压力组,比较各组患者SO峰电位丛(SOSB)幅值、频率和持续时间.结果 低压力组、正常压力组、高压力组患者分别有14、13、6例,平均SO基础压力分别为(3.1±1.2)、(18.5 ±7.6)、(39.8 ±4.8)mm Hg(1 mm Hg=0.133 kPa).低压力组、正常压力组、高压力组患者SOSB幅值、频率、持续时间分别为(41±27)、(150±71)、(301±109)μV,(5.8 ±1.6)、(6.9 ±1.4)、(7.8 ±1.2)次/min,(2.7±0.6)、(3.4±0.7)、(4.2±0.7)s,各组比较,差异有统计学意义(F=50.751,4.293,13.159,P<0.05).结论 SO肌电检测可以从电生理的层面反映SO的功能,有望成为临床研究、检测SO功能的新方法.
目的 研究肝膽管結石患者膽總管切開取石術後Oddi括約肌(SO)肌電的特點,旨在尋找臨床研究、檢測SO功能的新方法.方法 對2010年1月至10月在第三軍醫大學西南醫院複診的33例行膽總管切開取石術的肝膽管結石患者經T管竇道膽道鏡輔助行SO壓力與肌電檢測,根據SO測壓結果將33例患者分為低壓力組、正常壓力組及高壓力組,比較各組患者SO峰電位叢(SOSB)幅值、頻率和持續時間.結果 低壓力組、正常壓力組、高壓力組患者分彆有14、13、6例,平均SO基礎壓力分彆為(3.1±1.2)、(18.5 ±7.6)、(39.8 ±4.8)mm Hg(1 mm Hg=0.133 kPa).低壓力組、正常壓力組、高壓力組患者SOSB幅值、頻率、持續時間分彆為(41±27)、(150±71)、(301±109)μV,(5.8 ±1.6)、(6.9 ±1.4)、(7.8 ±1.2)次/min,(2.7±0.6)、(3.4±0.7)、(4.2±0.7)s,各組比較,差異有統計學意義(F=50.751,4.293,13.159,P<0.05).結論 SO肌電檢測可以從電生理的層麵反映SO的功能,有望成為臨床研究、檢測SO功能的新方法.
목적 연구간담관결석환자담총관절개취석술후Oddi괄약기(SO)기전적특점,지재심조림상연구、검측SO공능적신방법.방법 대2010년1월지10월재제삼군의대학서남의원복진적33례행담총관절개취석술적간담관결석환자경T관두도담도경보조행SO압력여기전검측,근거SO측압결과장33례환자분위저압력조、정상압력조급고압력조,비교각조환자SO봉전위총(SOSB)폭치、빈솔화지속시간.결과 저압력조、정상압력조、고압력조환자분별유14、13、6례,평균SO기출압력분별위(3.1±1.2)、(18.5 ±7.6)、(39.8 ±4.8)mm Hg(1 mm Hg=0.133 kPa).저압력조、정상압력조、고압력조환자SOSB폭치、빈솔、지속시간분별위(41±27)、(150±71)、(301±109)μV,(5.8 ±1.6)、(6.9 ±1.4)、(7.8 ±1.2)차/min,(2.7±0.6)、(3.4±0.7)、(4.2±0.7)s,각조비교,차이유통계학의의(F=50.751,4.293,13.159,P<0.05).결론 SO기전검측가이종전생리적층면반영SO적공능,유망성위림상연구、검측SO공능적신방법.
Objective To observe the characteristics of electromyography of sphincter of Oddi (SO) in patients with cholelithiasis after common bile duct exploration,and investigate new methods for detecting the motility of SO.Methods The basal pressure of SO(SOBP)and electromyography of SO were detected in 33 patients with cholelithiasis who were reexamined at the Southwest Hospital from January to October,2010.All patients were divided into low SOBP group,normal SOBP group and high SOBP group.The amplitude,frequency and duration of SO spike burst(SOSB)of the three groups were compared.Results The numbers of patients in the low SOBP group,normal SOBP group and high SOBP group were 14,13 and 6,respectively.The mean SOBP of the low SOBP group,normal SOBP group and high SOBP group were(3.1±1.2),(18.5±7.6),(39.8±4.8)mm Hg (1 mm Hg=0.133 kPa).The amplitude,frequency and duration of SOSB were(41±27)μV,(5.8±1.6) times/minutes and(2.7±0.6)s in the low SOBP group,and(150±71)μV,(6.9±1.4)times/minutes and (3.4±0.7)s in the normal SOBP group,and(301±109)μV,(7.8±1.2)times/minutes and(4.2±0.7)s in the high SOBP group,respectively,with significant difference among the three groups(F=50.751,4.293,13.159,P<0.05).Conclusion The results of electromyography of SO could reflect the function of SO,and it is possible to be a prospective method in the clinical research of SO.
