Mechanical Lithotripsy of Common Bile Duct Stones

總膽管結石之機械性碎石療法

林連福(Lien-Fu Lin) ； 蕭泉豹(Chuan-Pau Siauw) ； 何家奭(Ka-Sic Ho) ； 趙博亮(Po-Liang Chao) ； 黃彼得(Pi-Ten Huang) ； 劉忠政(Chung-Cheng Liu) ； 林榮宗(Wrond-Psung Lin) ； 童端欽(Jai-Chin Tung)

《中華民國消化系醫學雜誌》 16卷4期 (1999/12) Pp. 256-259

https://doi.org/10.6557/GJTb.199912_16(4).0001

摘要

利用內視鏡乳突切開取石術治療總膽管結石是已被確認之治療方法，其方式之總膽管結石取出成功率為85-95%。剩餘病例需其他治療方法，而機械性碎石術是其中之一。本院共21例大型總膽管結石，8例男性，13例女性，平均年齡60.1±1l.1(39-84)接受機械性碎石術治療。平均結石直徑為23±04，平均結石數目為1.6±0.8(1-4)，及平均治療次數為1.4±0.6(l-3)。成功率為85.7%，無併發症。大型總膽管結石利用機械性碎石術乃一種有效之治療方式。

關鍵字

內視鏡乳突切開術 ； 機械性碎石術 ； 總膽管結石

並列摘要

Endoscopic sphincterotomy has been well established for the treatment of common bile duct stone, the success rate of extraction after endoscopic sphincterotomy with Dormia basket or balloon catheter can reach up to 95%, and the remaining cases require other methods. Mechanical lithotripsy is one alternative. Twenty-one cases of large common bile duct stones, 8 males and 13 females, with the mean age of 60.1±11.1 years (39-84) underwent mechanical lithotripsy. The mean size of stone was 2.3±0.4cm, the mean numbers of stones were 1.6±0.8(1-4), and the mean numbers of sessions needed to perform mechanical lithotripsy were 1.4±0.6(1-3). The success rate was 85.7% and there were no complications. Mechanical lithotripsy is an effective method for treatment of large common bile duct stone.

並列關鍵字

endoscopic sphincterotomy ； mechanical lithotripsy ； common bile duct stone