使用碎石器进行唾液腺结石的导管内气压弹道碎石术：初步经验
Intraductal pneumatic lithotripsy for salivary stones with the StoneBreaker: Preliminary experience.
作者信息
Koch Michael, Mantsopoulos Konstantinos, Schapher Mirco, von Scotti Felix, Iro Heinrich
机构信息
Department of Otorhinolaryngology-Head and Neck Surgery, University of Erlangen-Nuremberg, Erlangen, Germany.
出版信息
Laryngoscope. 2016 Jul;126(7):1545-50. doi: 10.1002/lary.25849. Epub 2016 Feb 4.
OBJECTIVES/HYPOTHESIS: To test the effectiveness of a newly approved pneumatic lithotripter for fragmentation of salivary stones.
STUDY DESIGN
Retrospective study in a tertiary referral center.
METHODS
In 44 patients, 49 stones were primarily treated with direct endoscopic guidance using the StoneBreaker. Twenty-three stones were located in the parotid gland and 26 in the submandibular gland.
RESULTS
Complete fragmentation was achieved combined extracorporeal in 97.7% of the stones. All of the patients became symptom free, and 97.7% were stone free. Three patients underwent lithotripsy procedures. Altogether additional treatment was necessary in five cases to achieve stone clearance. The reason for residual sialolithiasis was intraparenchymal repulsion of a residual fragment (n = 1). The glands were preserved in all cases.
CONCLUSIONS
Endoscopically guided intraductal pneumatic lithotripsy using the StoneBreaker is an effective and promising procedure for the treatment of sialolithiasis.
LEVEL OF EVIDENCE
4 Laryngoscope, 126:1545-1550, 2016.
目的/假设：测试一种新批准的用于粉碎唾液腺结石的气动碎石机的有效性。
研究设计
在一家三级转诊中心进行的回顾性研究。
方法
44例患者中的49颗结石主要采用使用StoneBreaker的直接内镜引导进行治疗。23颗结石位于腮腺，26颗位于颌下腺。
结果
97.7%的结石通过体外联合实现了完全粉碎。所有患者症状消失，97.7%的患者结石清除。3例患者接受了碎石手术。总共5例患者需要额外治疗以实现结石清除。残余涎石病的原因是残余碎片的实质内排斥（n = 1）。所有病例中腺体均得以保留。
结论
使用StoneBreaker进行内镜引导下导管内气动碎石术是治疗涎石病的一种有效且有前景的方法。
证据级别
4 喉镜，126:1545 - 1550，2016年。
Zotero 插件