Lee S H, Burhenne H J
Department of Radiology, Middlesex Hospital, London, United Kingdom.
Radiol Clin North Am. 1990 Nov;28(6):1265-75.
Biliary lithotripsy is a new and important development in the nonsurgical management of gallbladder, cystic duct, and bile duct stones. Most patients do not require general or epidural anesthesia with newer second-generation machines. Patient selection and the use of adjuvant therapy to aid fragment clearance are important issues that are discussed. Results from different centers are compared but few long-term results are yet available, i.e., longer than 18 months.
胆道碎石术是胆囊、胆囊管和胆管结石非手术治疗领域一项新的重要进展。使用更新的第二代设备时,大多数患者不需要全身麻醉或硬膜外麻醉。患者选择以及使用辅助治疗以促进结石碎片清除是文中讨论的重要问题。文中比较了不同中心的结果,但长期结果(即超过18个月的结果)尚少。