CAJ | 학술논문

内镜下Oddi括约肌测压术(SOM)为公认的诊断Oddi括约肌功能紊乱(SOD)的金标准,特别是Ⅰ型SOD.Oddi括约肌功能异常可导致某些疾病的发生.因此,进行SOM测定具有重要的临床价值.SOM需要在逆行胰胆管造影(ERCP)术中进行乳头插管,其操作技术要求高且有术后急性胰腺炎发生的风险.近年来,随着SOM设备的更新、测压导管的改良以及高分辨率胃肠动力记录分析系统的临床应用,该技术的操作较之以往更加精确和安全.随着ERCP操作技术的不断普及,SOM有望成为临床广泛开展的检查手段,具有广阔的应用前景.本文就近年来SOM的研究进展进行综述.
내경하Oddi괄약기측압술(SOM)위공인적진단Oddi괄약기공능문란(SOD)적금표준,특별시Ⅰ형SOD.Oddi괄약기공능이상가도치모사질병적발생.인차,진행SOM측정구유중요적림상개치.SOM수요재역행이담관조영(ERCP)술중진행유두삽관,기조작기술요구고차유술후급성이선염발생적풍험.근년래,수착SOM설비적경신、측압도관적개량이급고분변솔위장동력기록분석계통적림상응용,해기술적조작교지이왕경가정학화안전.수착ERCP조작기술적불단보급,SOM유망성위림상엄범개전적검사수단,구유엄활적응용전경.본문취근년래SOM적연구진전진행종술.
Sphincter of Oddi manometry (SOM) is considered the gold standard for the diagnosis of sphincter of Oddi dysfunction (SOD),especially the type Ⅰ SOD.The dysfunction of sphincter of Oddi can lead to other comorbidity.Therefore,SOM is of special importance for such patients.When performing SOM,we need to intubate into the papilla,so it requires high technique and is associated with a relatively higher risk of post-ERCP pancreatitis.Recently,the equipment of SOM is being updated constantly.The use of modified catheter and high resolution gastrointestinal dynamic system for recording and analyzing has made the technology more accurate and safe than ever before.Due to the widespread use of ERCP,SOM is expected to be one of the routine examinations in clinical practice and its application has a promising prospect.This article reviews the latest research progress on SOM in recent years.