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Therapeutic cholesterol gallstone dissolution method

机译:治疗性胆固醇胆结石溶解方法

摘要

A method and apparatus are disclosed for treating a patient having cholesterol calculi which involves infusing into the biliary tract of said patient a C.sub.5 -C.sub.6 ester having a boiling point in the range of 80°-140° C. in an amount and at a flow rate effective to at least partially dissolve said calculi rapidly. It is found that the ester has little or no tendency to accumulate in the blood stream when perfused into a patient, particular as compared to methyl t-butyl ether (MTBE), the solvent widely used at present. The invention also encompasses dissolving cholesterol calculi by exposing such calculi to contact with effective quantities of those solvent compounds. The method preferably uses a high flow rate catheter pumping system for infusing a gallstone dissolution solvent into the gallbladder of a patient and aspirating the gallstone dissolution solvent from the gallbladder, and a unit measure container of the solvent. The preferred esters are n-propyl acetate, isopropyl acetate, ethyl propionate and ethyl isobutyrate, with ethyl propionate being the most preferred. Contact flow rates are sufficiently high to insure fluid turbulence in the biliary tract region surrounding the calculi.
机译:公开了一种用于治疗具有胆固醇结石的患者的方法和设备,该方法和设备包括将沸点在80°-140°C范围内的C5-C-6酯注入所述患者的胆道中。以足以至少部分快速溶解所述结石的量和流速。已经发现,当灌注到患者体内时,该酯几乎没有或没有在血流中积累的趋势,特别是与目前广泛使用的甲基叔丁基醚(MTBE)相比。本发明还包括通过使胆固醇结石与有效量的那些溶剂化合物接触来溶解胆固醇结石。该方法优选地使用高流速导管泵送系统,用于将胆结石溶解溶剂注入患者的胆囊中并从胆囊中抽吸胆结石溶解溶剂,以及该溶剂的单位计量容器。优选的酯是乙酸正丙酯,乙酸异丙酯,丙酸乙酯和异丁酸乙酯,最优选丙酸乙酯。接触流速足够高以确保结石周围的胆道区域内的流体湍流。

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