胆囊结石的切片陶石:在38名患者的初步经验
K A Hood1, A Keightley, R H Dowling
1Gastroenterology Unit, Guy's Campus, UMDS of Guy's Hospital, London.
Lancet (London, England)
|June 11, 1988
概括
一个新的皮埃佐陶系统用于体外冲击波石术,有效地碎片化胆囊结石. 这种非侵入性治疗是安全的,耐受性很好,在初始患者试验中显示出最小的副作用.
科学领域:
- 胃肠病学 胃肠病学
- 医疗器械 医疗器械
- 腎臟病學 (nephrology) 是一種醫學專業.
背景情况:
- 胆囊结石 (胆结石) 影响了相当一部分人群.
- 目前对症状性胆结石的治疗选择包括胆囊切除术和保守管理.
- 身体外冲击波石 (ESWL) 提供了一种非侵入性的胆结石治疗方法.
研究的目的:
- 评估一种用于胆囊石碎片化的新型压陶系统的疗效和安全性.
- 评估患者的耐受性,并确定与ESWL系统相关的潜在副作用.
主要方法:
- 这项研究包括了最初的38名患者,他们接受了用于胆囊结石的压陶ESWL系统的治疗.
- 治疗是在没有镇静,止痛或麻醉的情况下进行的.
- 通过胆结石的碎片化来确定有效性,并通过患者报告的结果和临床监测来评估安全性.
主要成果:
- 在38名患者中,34名患者 (89.5%) 实现了胆结石碎片化.
- 25名患者 (65.8%) 需要多次治疗,范围为1-5次.
- 手术耐受性很好,没有报告疼痛或不适. 副作用是可以忽略不计的,包括暂时的微观血 (2名患者),暂时异常的肝功能测试 (1名患者) 和皮肤上皮质 (4名患者).
结论:
- 压陶ESWL系统在碎片化胆囊结石方面表现出有效性.
- 该疗法是安全的,并且被患者耐受得很好,轻微副作用的发生率很低.
- 这一初步经验表明,压陶ESWL系统是胆囊结石管理的有希望的选择.
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