[胆结石的内镜碎石术]

[Endoscopic lithotripsy of gallstones].

作者信息

Bethge N, Hintze R E

出版信息

Z Gastroenterol. 1987 Feb;25(2):119-23.

Abstract

In a retrospective study we report about our experience and complications of 49 mechanical lithotripsies in 34 patients with two lithotriptor systems (Type AK Barmbek n = 30, type Erlangen n = 19). Our success rate (stone free system) is 76.5% (26 of 34 patients). Seven of eight patients with unsuccessful lithotripsy were transferred to surgery. We observed complications in 5.9%: In two cases the distal common bile duct was perforated with the tip of the lithotriptor basket. No death occurred. Technical problems appeared in 8.8%: In two cases we had fractures of the traction wire and in one case fracture of one branch of the lithotriptor basket. After performing endoscopic mechanical lithotripsy in patients suffering from common bile duct stones, we could improve our success rate (stone free system) from 89% up to 97.4%.

摘要

在一项回顾性研究中，我们报告了使用两种碎石系统（AK Barmbek型，n = 30；埃尔朗根型，n = 19）对34例患者进行49次机械碎石术的经验及并发症情况。我们的成功率（结石清除系统）为76.5%（34例患者中的26例）。8例碎石失败的患者中有7例被转至外科手术治疗。我们观察到并发症发生率为5.9%：2例患者的胆总管远端被碎石篮尖端穿孔。无死亡病例。技术问题发生率为8.8%：2例出现牵引线断裂，1例出现碎石篮一个分支断裂。在对胆总管结石患者进行内镜机械碎石术后，我们的成功率（结石清除系统）从89%提高到了97.4%。