体外冲击波碎石术在唾液腺结石治疗中的应用

Extracorporeal shockwave lithotripsy in the management of salivary calculi.

作者信息

Escudier M P, Brown J E, Drage N A, McGurk M

机构信息

Department of Oral Medicine and Pathology, Guy's, King's and St. Thomas' Dental Institute, London, UK.

出版信息

Br J Surg. 2003 Apr;90(4):482-5. doi: 10.1002/bjs.4067.

DOI:10.1002/bjs.4067

PMID:12673752

Abstract

BACKGROUND

The aim was to investigate the results of extracorporeal shockwave lithotripsy in the management of salivary calculi using a dedicated sialolithotriptor.

METHODS

Some 122 salivary calculi (84 submandibular and 38 parotid) were treated in an experimental study using a sialolithotriptor.

RESULTS

Complete success was achieved in 40 procedures (33 per cent), 27 of 84 submandibular and 13 of 38 parotid calculi. A further 43 patients (35 per cent) were rendered asymptomatic although some stone debris remained in the duct (26 submandibular and 17 parotid). Failure (retention of stone debris and continued symptoms) occurred in 39 patients (32 per cent), 30 submandibular and eight parotid glands. The chance of failure increased with the size of the calculus and increasing duration of symptoms.

CONCLUSION

Extracorporeal shockwave lithotripsy provides a useful option for the management of salivary calculi, particularly for stones less than 7 mm in diameter.

摘要

背景

目的是研究使用专用涎腺结石碎石器进行体外冲击波碎石术治疗涎腺结石的效果。

方法

在一项实验研究中，使用涎腺结石碎石器对122颗涎腺结石（84颗下颌下腺结石和38颗腮腺结石）进行了治疗。

结果

40例手术（33%）取得完全成功，84颗下颌下腺结石中的27颗和38颗腮腺结石中的13颗。另有43例患者（35%）无症状，尽管导管内仍残留一些结石碎片（26颗下颌下腺结石和17颗腮腺结石）。39例患者（32%）治疗失败（结石碎片残留且症状持续），30颗下颌下腺结石和8个腮腺。失败的几率随结石大小和症状持续时间的增加而增加。