唾液管の石の衝撃波リトトリプシー
H Iro1, H T Schneider, C Födra
1Department of Oto-Rhino-Laryngology, Head and Neck Surgery, University of Erlangen-Nuremberg, Germany.
Lancet (London, England)
|May 30, 1992
まとめ
身体外のピエゾ電気ショックウェーブ療法では,唾液石に対する安全で効果的な非外科的選択肢を提供します. この最小侵襲的治療法では,患者の88%で結石を成功裏に断片化し,緩和と結石の除去をもたらしました.
科学分野:
- 泌尿器科 泌尿器科とは
- 耳鼻喉科 (Otorhinolaryngology) は,耳鼻喉科 (Otorhinolaryngology) を専門とする医療機関である.
- 医療技術 医療技術について
背景:
- 手術による腺切除は,耐火性シアロリチアシスでは伝統的に行われています.
- 唾液石については,最小侵襲的技術が求められます.
- 身体外ショック波リトトリプシー (ESWL) は,唾液石に対する有望な結果を示しています.
研究 の 目的:
- 唾液石に対するピエゾ電気ESWLの安全性と有効性を評価する.
- 保守的な治療に適さない患者のアウトカムを評価する.
主な方法:
- 症状のある唾液石を有する51人の患者がESWLを受けた.
- 治療は超音波によるもので,患者"人につき最大3回のセッションが実施されました.
- 石の断片化と臨床的アウトカムをモニターした.
主要な成果:
- 完全な石の断片化 (≤3mm) は,患者の88%で達成されました.
- 90%が不快感の緩和を経験し,53%が20週目に石のない状態でした.
- 頭石 (81%) と下頭石 (40%) のクリアランスの割合がより高いことが観察されました.
結論:
- ピエゾ電気ESWLは,唾液石に対する安全で快適で効果的な最小侵襲的治療法です.
- 手術や補助処置の必要性を軽減します.
- 腺特異的なアウトカムに関するさらなる調査は正当化されています.
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