Kim M H, Lee S K, Min Y I, Lee M G, Sung K B, Cho K S, Lee S G, Min P C
Department of Internal Medicine, Asan Medical Center, Seoul, Korea.
Korean J Intern Med. 1992 Jan;7(1):25-30. doi: 10.3904/kjim.1992.7.1.25.
Extracorporeal shockwave lithothripsy (ESWL) was performed in intrahepatic stone patients (n = 18) by Dornier MPL 9,000 with ultrasound guidance. The patients had T-tube (n = 9) or percutaneous transhepatic biliary drainage tube (n = 9). Average treatment session was four and shock-wave numbers were in the range of 3,064 to 12,000 (average 6,288 shocks). Intrahepatic stones were removed completely in 16 patients over a 3 month period by ESWL and combined stone extraction maneuver such as cholangioscopic or interventional radiologic method. Extracorporeal shockwave lithothripsy was very helpful in facilitating extraction of stones in unfavorable locations or located above the severe stricture. In summary, extracorporeal shockwave lithotripsy, followed by percutaneous stone extraction, will provide an improvement in the success rate and duration of treatment required for complete removal of primary hepatolithiasis.
采用多尼尔MPL 9000型体外冲击波碎石机，在超声引导下对18例肝内胆管结石患者进行体外冲击波碎石术（ESWL）。这些患者中，9例置有T管，9例置有经皮经肝胆道引流管。平均治疗次数为4次，冲击波次数在3064至12000次之间（平均6288次）。在3个月的时间里，通过ESWL联合胆管镜或介入放射学等结石取出操作，16例患者的肝内结石被完全清除。体外冲击波碎石术对于促进位于不利位置或严重狭窄上方结石的取出非常有帮助。总之，体外冲击波碎石术联合经皮取石术将提高原发性肝内胆管结石完全清除的成功率并缩短所需治疗时间。
