Staritz M
I. Medizinische Klinik und Poliklinik, Johannes-Gutenberg-Universität, Mainz.
Schweiz Rundsch Med Prax. 1990 Mar 27;79(13):400-2.
Three years of clinical experience and the results of the "First International Symposium of Biliary Lithotripsy" showed that extracorporeal shock waves disintegrate cholesterol, pigment and calcified stones into fragments of 1 to 8 mm in diameter. Since spontaneous passage of fragments through the bile ducts is not possible, the therapeutic goal must be achieved with adjuvant oral lysis of the fragments. Therefore, only cholesterol stones are suitable, and a contractile gallbladder as well as a limited stone volume are prerequisites. After one year of treatment, in 45 to 80% of patients complete clearance of stone fragments from the gallbladder is observed. During this period one third of the patients experiences occasional colics. Further severe complications have not been reported.
三年的临床经验以及“第一届国际胆石粉碎术研讨会”的结果表明，体外冲击波可将胆固醇结石、色素结石和钙化结石分解成直径为1至8毫米的碎片。由于这些碎片无法自行通过胆管排出，因此必须通过辅助口服溶石药物来实现治疗目标。所以，仅胆固醇结石适用，且胆囊收缩功能正常以及结石体积有限是必要条件。治疗一年后，45%至80%的患者胆囊内的结石碎片完全清除。在此期间，三分之一的患者偶尔会出现绞痛。尚未有进一步严重并发症的报告。
