Phillip J
Leber Magen Darm. 1985 Nov;15(6):256-61.
Choledocholithiasis is treated endoscopically by papillotomy and subsequent stone extraction. In 10% of cases this procedure does not succeed. mechanical lithotripsy has reached the stage of clinical applicability, it can be performed easily, has a high success rate, and equipment is relatively inexpensive. Alternative methods are electrohydraulic lithotripsy and chemical litholysis. Laser-, ultrasound- and jet-cutting-lithotripsy are still in a developmental stage, the latter two methods not yet having been applied in man. Endoscopic probing of the gall bladder for stone extraction or chemical litholysis with methyl-tert-butyl aether up to now have succeeded only in very few cases. Therapy of gall bladder stones by pulsed waves is already in clinical testing.
胆总管结石通过乳头切开术及随后的取石术进行内镜治疗。在10%的病例中，该手术不成功。机械碎石术已达到临床应用阶段，操作简便，成功率高，且设备相对便宜。替代方法是电液压碎石术和化学溶石法。激光、超声和喷射切割碎石术仍处于研发阶段，后两种方法尚未应用于人体。迄今为止，内镜探查胆囊取石或用甲基叔丁基醚进行化学溶石仅在极少数病例中取得成功。脉冲波治疗胆囊结石已在进行临床试验。
