Liguory C, Lefebvre J F, Bonnel D, Cornud F
Centre médico-chirurgical de l'Alma, Paris.
Chirurgie. 1990;116(3):237-42.
Instillation of Methyl tert-butyl ether in the gallbladder permits the dissolution of cholesterol stones. Percutaneous transhepatic puncture of the gallbladder is the currently used approach; but shortcomings of this procedure could make the transpapillary cannulation of the cystic duct preferable. The reproducibility of this procedure, however, is not established. "In situ" dissolution is useful in cases of multiples stones which are not amenable to treatment with extra corporeal shock wave lithotripsy (ESWL). It can also be complementary to standard ESWL by promoting rapid disappearance of stones fragments. Preliminary results obtained in 9 patients suggest the necessity of rigorous selection criterias particularly regarding the chemical nature of the stones.
在胆囊内注入甲基叔丁基醚可使胆固醇结石溶解。经皮经肝胆囊穿刺是目前采用的方法；但该操作的缺点可能使经乳头胆囊管插管更可取。然而，该操作的可重复性尚未确立。“原位”溶解对于不适合用体外冲击波碎石术（ESWL）治疗的多发结石病例很有用。它还可以通过促进结石碎片快速消失来补充标准的ESWL。在9例患者中获得的初步结果表明，尤其在结石化学性质方面，有必要制定严格的选择标准。
