摘要

Methyl tert butyl ether (MTBE) is a potent cholesterol solvent. We have used MTBE in twelve patients with 19 large radiolucent common bile duct stones which could not be removed endoscopically. MTBE was instilled directly into the common bile duct via a nasobiliary or percutaneous catheter. Successful clearance of the duct was achieved in ten patients. The stones disappeared completely in three patients with MTBE alone; in the remaining seven, it was possible to extract the stones endoscopically after MTBE, even though there was no change in the cholangiographic appearance. MTBE may have a role in the management of large retained common bile duct calculi but, given the practical difficulties of administration, its use should only be considered when other methods have failed and a non-surgical approach is desired.

译文

甲基叔丁基醚 (MTBE) 是一种有效的胆固醇溶剂。我们已经在 12 名患者中使用了 MTBE,这些患者有 19 个大的放射性胆总管结石,这些结石无法在内窥镜下切除。MTBE 通过鼻胆导管或经皮导管直接注入胆总管。10 名患者成功清除了导管。仅 MTBE 的三个患者的结石就完全消失了; 在剩下的七个患者中,即使在胆管造影外观没有变化,MTBE 之后还是有可能通过内窥镜取出结石。MTBE 可能在处理大量保留的胆总管结石中发挥作用,但是,考虑到给药的实际困难, 只有当其他方法失败并且需要非手术方法时,才应考虑其使用。

common bile duct stones

消化 胆囊,胰腺疾病 疾病
概述  :  

胆总管结石(CBDS)是指位于胆总管内的结石,根据其来源可分为原发性胆总管结石和继发性胆总管结石,在胆管内形成的结石称为原发性胆囊结石,其形成与胆道感染、胆汁淤积、胆道蛔虫密切相关;胆管内结石来自胆囊者,称为继发性胆管结石,以胆固醇结石多见。 CBDS的流行病学、自然病史和处理推荐胆囊结石在发达国家患病率达10%~15%,累积年发病率为0.60%。在有症状的胆囊结石患者中CBDS的患病率为8%~18%,但目前尚无无症状胆囊结石患者中CBDS的流行病学数据。欧洲消化内镜学会(ESGE

common 英 /ˈkɒmən/  美 /ˈkɑːmən/

释义   adj. 共同的;普通的;一般的;通常的

例句   They will these common as the measure of things outside.  他们将这些共同作为对外界事物的衡量标准。

 

bile 英 /baɪl/  美 /baɪl/

释义   n. 胆汁;愤怒

例句   I make bile to help digest your food. Without me, you'd waste away to nothing. 我制造胆汁帮助消化食物。如果没我,你的身体的资源就会消耗殆尽。

 

duct 英 /dʌkt/  美 /dʌkt/

释义   n. 输送管,导管

例句   Objective: To discuss the treatment of inflammation of submandibular gland with duct calculi. 目的:探讨对颌下腺导管结石继发颌下腺炎的治疗方法。

 

stones 英 /stəʊnz/  美 /stonz/

释义   n. 石子(stone的复数)

例句   I give my fruit to all, even to those who throw stones at me.  我把果实分给所有的人,即使那些向我扔石子的人也不例外。 


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