Salamon V, Simunic S, Radanovic B
Department of Internal Medicine, Zagreb University, School of Medicine, Croatia.
Z Gastroenterol. 1992 Jul;30(7):459-62.
The method of percutaneous transhepatic dissolution with methyl tert-butyl ether (MTBE) has been used at the Zagreb Clinical Hospital Department of Medicine since 1989. From December 1989 until December 1991, 69 patients, 51 (74%) females and 18 (26%) males, with symptomatic and cholesterol gallbladder stones were hospitalised at the Department. All patients preferred percutaneous transhepatic dissolution to surgical treatment of gallbladder stones. The gallbladder was successfully punctured and the catheter placed into the gallbladder lumen in 63 (91%) patients, whereas complete dissolution was achieved in 59 (85.5%) patients. In 21 (33.9%) of these 59 patients, after completed dissolution computer-processed roentgenograms and ultrasonic scan of the gallbladder revealed residual particles of debris sized up to 2 mm. Six patients in whom puncture, i.e. the placement of the catheter into the lumen was unsuccessful, were electively operated on the following day without any complications. The mean duration of hospitalisation for 63 patients was 4.5 days.
自1989年以来，萨格勒布临床医院医学部一直采用经皮经肝用甲基叔丁基醚（MTBE）溶解术。从1989年12月至1991年12月，该科室收治了69例有症状的胆固醇性胆囊结石患者，其中女性51例（74%），男性18例（26%）。所有患者均更倾向于采用经皮经肝溶解术而非胆囊结石手术治疗。63例（91%）患者胆囊穿刺成功且导管置入胆囊腔，59例（85.5%）患者实现了结石完全溶解。在这59例患者中的21例（33.9%），结石完全溶解后，计算机处理的胆囊X线片和超声检查显示残留有大小达2毫米的碎片颗粒。6例穿刺即导管置入胆囊腔未成功的患者于次日择期接受手术，未出现任何并发症。63例患者的平均住院时间为4.5天。
