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1985～1990年,5824例胆囊结石病人曾去作者的医院要求作震波碎石治疗,其中仅19％符合该疗法指征。本文分析711例治疗结果。患者结石均为透光结石,结石数少于3颗,直径小于30 mm。患者中69％属女性,平均年龄47±13岁(16～80岁)。使用3类仪器:A组(1985～1987年)184例,使用水槽式碎石机;B组(1987～1988年)242例,使用水垫式低能碎石机;C组(1988～1990年)285例,使用水垫式高能碎石机。震波治疗前2个月至碎石完全清除后3个月,口服鹅去氧胆酸及熊去氧胆酸各7.3±1.4mg/kg·d或单用熊去氧胆酸11.5±2.3mg/kg·d。治疗结果:震波治疗后9～12个月的结石碎片完
Between 1985 and 1990, 5824 patients with gallstone disease who went to the author’s hospital requested that shock wave lithotripsy be treated, of whom only 19% met the indication of the therapy. This article analyzes the results of 711 cases. Patients with stone are transparent stones, the number of stones less than 3, diameter less than 30 mm. 69% of the patients were female, with an average age of 47 ± 13 years (16 to 80 years). Three types of instruments were used: 184 in Group A (1985-1987) using a flume breaker; 242 in Group B (1987-1988) using a water-cushioned low-energy crusher; C (1988-1990) ) 285 cases, the use of pad-type high-energy stone crusher. Two months before the shock wave treatment to 3 months after the gravel was completely removed, each of chenodeoxycholic acid and ursodeoxycholic acid was administered 7.3 ± 1.4 mg / kg · d or ursodeoxycholic acid alone 11.5 ± 2.3 mg / kg · d. Treatment Results: Shock treatment 9 to 12 months after the end of the stone fragments