Zenk Johannes, Koch Michael, Iro Heinrich
Department of Otorhinolaryngology, Head and Neck Surgery, University of Erlangen Nuremberg, Waldstrasse 1, D-91054 Erlangen, Germany.
Otolaryngol Clin North Am. 2009 Dec;42(6):1115-37, Table of Contents. doi: 10.1016/j.otc.2009.08.005.
The traditional treatment for sialolithiasis was extirpation of the affected gland. It is now known, however, that salivary gland function can recover completely after stone extraction alone. Since the mid-1980s, much thought has been given to treating sialolithiasis with extracorporeal or intracorporeal shock waves in a manner similar to that used for urinary tract or biliary tract stones, and this has been implemented successfully. This article provides an overview of the various methods of extracorporeal and intracorporeal lithotripsy that have been used or proposed for salivary calculi to date, considering the advantages and disadvantages of each of the techniques.
涎石病的传统治疗方法是切除患腺。然而,现在已知仅取出结石后唾液腺功能可完全恢复。自20世纪80年代中期以来,人们一直在思考以类似于治疗泌尿道或胆道结石的方式,用体外或体内冲击波治疗涎石病,并且这已成功实施。本文概述了迄今为止已被使用或提议用于唾液腺结石的各种体外和体内碎石术方法,同时考虑了每种技术的优缺点。