Sauerbruch T
Medical Department II, Klinikum Grosshadern, University of Munich, Federal Republic of Germany.
Am J Surg. 1989 Sep;158(3):188-91. doi: 10.1016/0002-9610(89)90249-3.
Extracorporeal shock-wave lithotripsy (ESWL) in combination with adjuvant litholytic therapy using chenodeoxycholic acid and ursodeoxycholic acid (7 to 8 mg/kg body weight/day of each acid) is a safe and effective, novel nonsurgical approach to gallbladder stones, provided the patients are carefully selected. Experience has shown that patients with a radiolucent solitary stone in a functioning gallbladder are the best candidates. In addition, ESWL is a worthwhile noninvasive alternative to open surgery in patients with bile duct stones in whom routine endoscopic measures have failed.
体外冲击波碎石术(ESWL)联合使用鹅去氧胆酸和熊去氧胆酸(每种酸7至8毫克/千克体重/天)的辅助溶石疗法,对于胆囊结石而言,是一种安全有效的新型非手术方法,前提是要仔细挑选患者。经验表明,胆囊功能正常且有透光性单发性结石的患者是最佳人选。此外,对于常规内镜治疗失败的胆管结石患者,ESWL是一种值得采用的替代开放性手术的非侵入性方法。