ALbert M B, Fromm H, Shehan C M
Department of Medicine, George Washington University Medical Center, Washington, D.C.
Gastroenterology. 1990 Mar;98(3):777-9. doi: 10.1016/0016-5085(90)90302-h.
A patient with biliary pain and a densely calcified gallbladder stone was treated successfully with piezoelectric extracorporeal shock-wave lithotripsy. The gallstone was fragmented to particles of less than 1-2 mm in diameter in a single 1-h session. The procedure was performed in the outpatient setting and required no anesthesia or analgesia. Follow-up sonograms showed that clearance of residual fragments from the gallbladder had occurred within 1 wk. Our encouraging treatment result suggests the need for future research to be directed towards broadening the currently recommended criteria for biliary lithotripsy, which currently exclude treatment of densely calcified gallstones.
一名患有胆绞痛且胆囊结石致密钙化的患者通过压电体外冲击波碎石术成功治愈。在单次1小时的治疗过程中，胆结石被碎成直径小于1 - 2毫米的颗粒。该手术在门诊进行，无需麻醉或镇痛。随访超声检查显示，胆囊内残留碎片在1周内已清除。我们令人鼓舞的治疗结果表明，未来的研究需要致力于拓宽目前推荐的胆石症碎石标准，目前这些标准排除了对致密钙化胆结石的治疗。
