Schmitz S, Zengel P, Alvir I, Andratschke M, Berghaus A, Lang S
Department of Otorhinolaryngology, Head and Neck Surgery, Grosshadern Medical Center, Ludwig-Maximilians-University of Munich, Germany.
J Laryngol Otol. 2008 Jan;122(1):65-71. doi: 10.1017/S0022215107007396. Epub 2007 Apr 30.
Extracorporeal shock wave lithotripsy is a rather new therapeutical method in the treatment of sialolithiasis. The objective was to evaluate retrospectively the results of the extracorporeal shock wave lithotripsy therapy performed with a Minilith SL 1 lithotripter on 167 out-patients with symptomatic stones (average size 5.94 mm) of the salivary glands over an observation period of seven years. A successful treatment with total stone disintegration was achieved in 51 (31 per cent) patients. In 92 (55 per cent) patients treatment was partially successful, with disappearance of the symptoms but a sonographically still identifiable stone. Treatment failure occurred in 24 (14 per cent) patients who then underwent surgery. The mean follow-up period was 35.6 months (minimum three, maximum 83), after which 83.2 per cent of the initially successfully treated patients were still free of symptoms.Therefore, extracorporeal shock wave lithotripsy, as a non-invasive treatment alternative with few side effects, is an efficient technique for the therapy of sialolithiasis in selected patients.
体外冲击波碎石术是涎石病治疗中一种相当新的治疗方法。目的是回顾性评估使用Minilith SL 1碎石机对167例有症状的涎腺结石门诊患者（结石平均大小5.94mm）进行体外冲击波碎石术治疗7年的结果。51例（31%）患者结石完全崩解，治疗成功。92例（55%）患者治疗部分成功，症状消失但超声仍可识别结石。24例（14%）患者治疗失败，随后接受了手术。平均随访期为35.6个月（最短3个月，最长83个月），之后最初治疗成功的患者中有83.2%仍无症状。因此，体外冲击波碎石术作为一种副作用少的非侵入性治疗选择，是治疗部分涎石病患者的有效技术。
