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体外冲击波碎石术治疗胆囊结石:附200例报告

[Extracorporeal shock wave lithotripsy in gallbladder stones: report of 200 cases].

作者信息

Pu C S, Cui X M, Chen D Q

机构信息

Lanzhow Railway Central Hospital.

出版信息

Zhonghua Nei Ke Za Zhi. 1991 Sep;30(9):561-3, 595.

PMID:1806339
Abstract

The effect and experience in treating 200 patients having gallbladder stones with extracorporeal shock wave lithotripsy (ESWL) were reported. Traditional Chinese medicine was used in combination in these patients. The overall effective lithotriptic rate was 91%. In a follow-up study of 137 of the cases, the rate of complete disappearance of gallbladder stones was 16.8%, 25.5% and 39.4%, respectively 1, 3, and 6 months after lithotripsy. During treatment, the patients had no remarkable discomfort. The authors consider that the lithotriptic effect is related to the nature, size, morphology and structure of the stones and ESWL is promising non-operative treatment. However, improved instrumentation is necessary for better efficacy of lithotripsy.

摘要

报告了用体外冲击波碎石术(ESWL)治疗200例胆囊结石患者的效果及经验。这些患者同时使用了中药。总体碎石有效率为91%。在对其中137例病例的随访研究中,碎石术后1、3和6个月胆囊结石完全消失率分别为16.8%、25.5%和39.4%。治疗期间,患者无明显不适。作者认为,碎石效果与结石的性质、大小、形态和结构有关,ESWL是一种有前景的非手术治疗方法。然而,为了提高碎石效果,需要改进设备。

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