Matthews K, Correa R J, Gibbons R P, Weissman R M, Kozarek R A
Section of Urology, Virginia Mason Medical Center, Seattle, Washington 98111, USA.
J Urol. 1997 Aug;158(2):522-5.
A review was done to determine the effectiveness of extracorporeal shock wave lithotripsy (ESWL) in the treatment of impacted pancreatic duct calculi.
A total of 19 patients, who were potential candidates for radical pancreatic surgery after unsuccessful endoscopic retrograde cholangiopancreatography, sphincterotomy and attempted stone extraction from the pancreatic ducts, underwent ESWL of the calculi. Followup ranged from 6 months to 6 years.
Of the 19 patients 14 avoided a major operation and 6 have remained pain-free for the long term. Two patients died of causes not related to ESWL or endoscopic retrograde cholangiopancreatography. Five patients eventually underwent a Whipple or Puestow procedure for relief of symptoms or persistent obstruction. Complications were minimal.
ESWL is a valuable adjunct in patients with impacted pancreatic duct calculi unretrievable by primary endoscopic retrograde cholangiopancreatography.
进行一项综述以确定体外冲击波碎石术（ESWL）治疗嵌顿性胰管结石的有效性。
共有19例患者，在内镜逆行胰胆管造影术、括约肌切开术及尝试从胰管取出结石失败后，这些患者本可进行根治性胰腺手术，对他们的结石进行了ESWL治疗。随访时间为6个月至6年。
19例患者中，14例避免了大手术，6例长期无痛。2例患者死于与ESWL或内镜逆行胰胆管造影术无关的原因。5例患者最终接受了惠普尔手术或普埃斯托手术以缓解症状或解除持续梗阻。并发症极少。
对于原发性内镜逆行胰胆管造影术无法取出的嵌顿性胰管结石患者，ESWL是一种有价值的辅助治疗方法。
