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[胆结石的压电碎石术。初步临床经验]

[Piezoelectric lithotripsy of gallstones. Initial clinical experiences].

作者信息

Ell C, Kerzel W, Heyder N, Günter E, Rödl W, Flügel H, Domschke W

机构信息

Medizinische Klinik mit Poliklinik, Universität Erlangen-Nürnberg.

出版信息

Dtsch Med Wochenschr. 1988 Sep 30;113(39):1503-7. doi: 10.1055/s-2008-1067841.

DOI:10.1055/s-2008-1067841
PMID:3048958
Abstract

Piezoelectric lithotripsy was undertaken on 50 patients with gallbladder stones, none of them requiring anaesthesia, analgetics or sedatives. Stone fragmentation was achieved in all patients during the first treatment. In 44 patients the maximum fragment size was less than 50% of the initial stone diameter. The mean maximum fragment size after the first treatment was 4.3 mm (+/- 3.3 mm). After a follow-up of 0-2 months in 14 of the 50 patients and of 2-4 months in 6 of 13 patients, no more stones could be seen by ultrasonography. After an average period of 8 weeks, 17 of 50 patients were free of stones. Piezoelectric lithotripsy did not have any severe side effects besides a mild pancreatitis in one patient.

摘要

对50例胆囊结石患者进行了压电碎石术,无一例需要麻醉、镇痛药或镇静剂。所有患者在首次治疗期间均实现了结石破碎。44例患者的最大碎片尺寸小于初始结石直径的50%。首次治疗后的平均最大碎片尺寸为4.3毫米(±3.3毫米)。50例患者中的14例经过0 - 2个月的随访,13例患者中的6例经过2 - 4个月的随访,超声检查未见更多结石。平均8周后,50例患者中有17例结石消失。除1例患者出现轻度胰腺炎外,压电碎石术没有任何严重副作用。

相似文献

1
[Piezoelectric lithotripsy of gallstones. Initial clinical experiences].[胆结石的压电碎石术。初步临床经验]
Dtsch Med Wochenschr. 1988 Sep 30;113(39):1503-7. doi: 10.1055/s-2008-1067841.
2
[Piezoelectric lithotripsy in the treatment of symptomatic gallstone patients].[压电碎石术治疗有症状胆结石患者]
Med Klin (Munich). 1990 Apr 15;85(4):176-80.
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Schweiz Med Wochenschr. 1989 May 27;119(21):720-3.
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[Electromagnetic shockwave lithotripsy of gallstones. Preliminary clinical experiences].
Dtsch Med Wochenschr. 1990 Jan 26;115(4):123-8. doi: 10.1055/s-2008-1064980.
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[Extracorporeal lithotripsy of gallbladder calculi with piezoelectrically generated shock waves: initial experiences].
Z Gastroenterol. 1989 May;27(5):263-6.
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A clinical comparison of an electrohydraulic and a piezoelectric shockwave lithotripter in gallstone therapy.电液压式与压电式冲击波碎石机治疗胆结石的临床比较
Am J Gastroenterol. 1993 Jan;88(1):58-63.
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[One year results after extracorporeal shock wave lithotripsy of gallbladder stones].[体外冲击波碎石术治疗胆囊结石一年后的结果]
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引用本文的文献

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Results of extracorporeal shock wave lithotripsy of gall bladder stones in 693 patients: a plea for restriction to solitary radiolucent stones.693例胆囊结石患者体外冲击波碎石术的结果:呼吁将其限制用于孤立性透X线结石。
Gut. 1993 Feb;34(2):274-8. doi: 10.1136/gut.34.2.274.
2
ESWL and oral dissolution therapy. What factors influence results?
Dig Dis Sci. 1993 Sep;38(9):1702-11. doi: 10.1007/BF01303181.
3
Extracorporeal biliary lithotripsy and direct chemolitholysis-an integrated concept.体外胆道碎石术与直接化学溶石术——一个综合概念。
Gastroenterol Jpn. 1989 Oct;24(5):597-604. doi: 10.1007/BF02773895.
4
Extension of selection criteria for extracorporeal shock wave lithotripsy for gall stones.胆结石体外冲击波碎石术选择标准的扩展
BMJ. 1989 Jul 29;299(6694):302-3. doi: 10.1136/bmj.299.6694.302.
5
Percutaneous endoscopic treatment of cholelithiasis.
Surg Endosc. 1990;4(3):141-8; discussion 149. doi: 10.1007/BF02336592.
6
Extracorporeal shock wave lithotripsy of gall stones: an in vitro comparison between an electrohydraulic and a piezoceramic device.胆结石的体外冲击波碎石术:电液压装置与压电陶瓷装置的体外比较。
Gut. 1991 Mar;32(3):312-5. doi: 10.1136/gut.32.3.312.
7
Computed tomography after ESWL of gallbladder calculi.胆囊结石体外冲击波碎石术后的计算机断层扫描
Gastrointest Radiol. 1992 Spring;17(2):148-50. doi: 10.1007/BF01888532.
8
Aggressive extracorporeal shock wave lithotripsy of gall bladder stones within wider treatment criteria: fragmentation rate and early results.在更广泛治疗标准下对胆囊结石进行积极的体外冲击波碎石术:碎石率及早期结果
Gut. 1992 Feb;33(2):277-81. doi: 10.1136/gut.33.2.277.