Wenzel H, Greiner L, Jakobeit C, Lazica M, Thüroff J
Abteilung für Gastroenterologie, Städtische Kliniken Wuppertal.
Dtsch Med Wochenschr. 1989 May 12;114(19):738-43. doi: 10.1055/s-2008-1066665.
Extracorporeal lithotripsy (EL) was undertaken in 50 patients (mean age 73.7 years; range 29-90 years) with extrahepatic and, in five, with intrahepatic gallstones, the usual endoscopic methods having been unsuccessful in removing the stones. Occasionally stone fragments were passed spontaneously, but in most they had to be removed endoscopically, in 48 (96%) with extrahepatic and in three (60%) with intrahepatic stones. Biliary tract or gallbladder infections occurred after the lithotripsy and associated local litholysis in seven of the 48 with extrahepatic (14%) and three of the five (60%) with intrahepatic stones. There was one hospital death. The results indicate that EL has definite advantages over surgical treatment in these patients, who are usually elderly and in whom surgical intervention is more risky.
对50例患者（平均年龄73.7岁，范围29 - 90岁）进行了体外冲击波碎石术（EL），这些患者患有肝外胆结石，其中5例还患有肝内胆结石，常规内镜方法无法成功取出结石。偶尔结石碎片会自行排出，但大多数情况下必须通过内镜取出，48例（96%）肝外结石患者和3例（60%）肝内结石患者如此。48例肝外结石患者中有7例（14%）、5例肝内结石患者中有3例（60%）在碎石术及相关局部溶石后发生了胆道或胆囊感染。有1例患者在医院死亡。结果表明，对于这些通常为老年且手术干预风险更高的患者，体外冲击波碎石术比手术治疗具有明显优势。
