Staritz M, Rambow A, Grosse A, Hurst A, Floth A, Mildenberger P, Goebel M, Junginger T, Hohenfellner R, Thelen M
I Medical Department, University of Mainz, FRG.
Gut. 1990 Feb;31(2):222-5. doi: 10.1136/gut.31.2.222.
Electromagnetically generated extracorporeal shock waves (without waterbath) were applied after intravenous premedication with 10-15 mg diazepam and 100 mg tramadol in the treatment of 33 patients (aged 32 to 91 years) with multiple intrahepatic stones (n = 4) or huge common bile duct stones (n = 29, 18-30 mm in diameter), which could not be removed by conventional endoscopy. Stone disintegration was achieved in 70% of common bile duct stones and in all intrahepatic concrements after 800-7500 discharges, which were applied during one (n = 21), two (n = 6) or three sessions (n = 6). Apart from mild fleabite-like petechiae at the side of shock wave transmission no other side effects were observed for a total of 51 procedures. We believe electromagnetically generated shock waves are safe, easy to apply, and relatively effective in the therapy of common bile duct and intrahepatic stones.
在对33例（年龄32至91岁）患有多发性肝内结石（n = 4）或巨大胆总管结石（n = 29，直径18 - 30毫米）且无法通过传统内镜取出的患者进行静脉注射10 - 15毫克地西泮和100毫克曲马多进行术前用药后，应用电磁产生的体外冲击波（无水浴）。在800 - 7500次放电后，70%的胆总管结石和所有肝内结石实现了结石碎裂，这些放电在一次（n = 21）、两次（n = 6）或三次疗程（n = 6）中进行。在总共51次治疗过程中，除了冲击波传播一侧出现轻度跳蚤叮咬样瘀点外，未观察到其他副作用。我们认为电磁产生的冲击波在胆总管和肝内结石的治疗中是安全、易于应用且相对有效的。
