唾液腺结石的体外碎石技术

Extracorporeal lithotripsy techniques for salivary stones.

作者信息

Capaccio Pasquale, Torretta Sara, Pignataro Lorenzo

机构信息

Department of Specialist Surgical Sciences, Fondazione IRCCS Ospedale Maggiore Policlinico, Mangiagalli e Regina Elena, University of Milan, Via Francesco Sforza 35, 20122 Milano, Italy.

出版信息

Otolaryngol Clin North Am. 2009 Dec;42(6):1139-59, Table of Contents. doi: 10.1016/j.otc.2009.08.003.

DOI:10.1016/j.otc.2009.08.003

PMID:19962012

Abstract

Over the past 20 years, development of minimally invasive therapies has led to the use of extracorporeal shock wave lithotripsy (ESWL) to treat salivary stones. The two main energy sources are piezoelectric and electromagnetic extracorporeal lithotripsy. Both have the aim of fragmenting the stones. ESWL is considered the treatment of choice for all parotid calculi and submandibular perihilar or intraparenchymal stones of less than 7 mm. Continuous ultrasonographic monitoring during the procedure reduces the number of untoward effects. The main limitations are the need for multiple sessions and residual stone fragments inside the duct system.

摘要

在过去20年中，微创治疗的发展促使体外冲击波碎石术（ESWL）被用于治疗唾液腺结石。两种主要的能量源是压电式和电磁式体外碎石术。两者的目的都是将结石击碎。ESWL被认为是所有腮腺结石以及直径小于7毫米的下颌下腺 hilar或实质内结石的首选治疗方法。手术过程中持续的超声监测可减少不良反应的数量。主要局限性在于需要多次治疗以及导管系统内残留结石碎片。