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体外冲击波碎石治疗胆结石

Gallstone lithotripsy by extracorporeal shock waves.

作者信息

Sauerbruch T

机构信息

Medical Department II, Klinikum Grosshadern, University of Munich, Federal Republic of Germany.

出版信息

Am J Surg. 1989 Sep;158(3):188-91. doi: 10.1016/0002-9610(89)90249-3.

DOI:10.1016/0002-9610(89)90249-3
PMID:2672840
Abstract

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.

摘要

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。

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1
Gallstone lithotripsy by extracorporeal shock waves.体外冲击波碎石治疗胆结石
Am J Surg. 1989 Sep;158(3):188-91. doi: 10.1016/0002-9610(89)90249-3.
2
[Shockwave lithotripsy in gallbladder and bile duct calculi: indications and results].
Langenbecks Arch Chir Suppl II Verh Dtsch Ges Chir. 1990:1213-5.
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Biliary stones: treatment by shock-wave lithotripsy.胆结石:冲击波碎石治疗法
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4
[Combination therapy of gallbladder stones using extracorporeal shock waves and bile acids: results in relation to stone diameter and stone number].[体外冲击波与胆汁酸联合治疗胆囊结石:与结石直径和结石数量相关的结果]
Z Gastroenterol. 1992 Feb;30(2):121-4.
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6
Extracorporeal shock wave lithotripsy combined with litholytic therapy in the treatment of patients with symptomatic gallstones--the Melbourne experience.体外冲击波碎石术联合溶石疗法治疗有症状胆结石患者——墨尔本的经验
Med J Aust. 1993 Jan 18;158(2):94-7. doi: 10.5694/j.1326-5377.1993.tb137532.x.
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[Results of 4 years of gallstone lithotripsy].[四年胆结石碎石治疗结果]
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Ital J Gastroenterol. 1993 Jun;25(5):251-5.