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1985年Thistle等报道了用甲基叔丁醚直接溶解胆结石的方法。在透视下经皮经肝从胆囊床穿刺胆囊,本法快速而简单,但有可能损伤穿刺部位而产生一些并发症。本文作者报道用甲基叔丁醚治疗胆固醇性结石时预防和治疗其并发症的经验。病人和方法:经口服或静脉胆囊造影和CT(5 mm间距)检查,确诊为胆固醇性胆囊结石患者52例。其中50例在局麻和镇静下胆囊穿刺术成功。甲基叔丁醚治疗的开始剂量为2ml,以后逐渐增加但以不溢出胆囊为限。甲基叔丁醚应随即吸出,胆囊内与结石接触最多2分钟,溶石治疗可反复、持续进行。并分别于治疗前、后及治疗后一周测定白细胞计数、红细胞计
In 1985, Thistle et al. Reported the direct dissolution of gallstone with methyl tert-butyl ether. Percutaneous transhepatic gallbladder bed puncture gallbladder in the perspective of the law, this method is fast and simple, but it may damage the puncture site and some complications. The authors report on the experience of preventing and treating complications with methyl tert-butyl ether in the treatment of cholesterol stones. Patients and Methods: Oral or intravenous cholecystography and CT (5 mm pitch) check, diagnosed as cholesterol gallstone in 52 patients. 50 cases of local anesthesia and sedation under the gallbladder puncture success. Methyl tert-butyl ether treatment start dose of 2ml, then gradually increased but not to overflow the gallbladder limit. Methyl tert-butyl ether should be aspirated immediately, the gallbladder and stones in contact up to 2 minutes, dissolving stone treatment can be repeated, continued. The white blood cell count and red blood cell count were measured before and after treatment and one week after treatment respectively