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学科主题临床医学
Clinical application of plasma shock wave lithotripsy in treating impacted stones in the bile duct system
Xu, Zhi; Wang, Li-Xin; Zhang, Neng-Wei; Hou, Chun-Sheng; Ling, Xiao-Feng; Xu, Yao; Zhou, Xiao-Si
关键词impacted stone plasma shock wave lithotripsy choledochofiberscopy
刊名WORLD JOURNAL OF GASTROENTEROLOGY
2006
12期:1页:130-133
收录类别SCI
文章类型Article
WOS标题词Science & Technology
类目[WOS]Gastroenterology & Hepatology
研究领域[WOS]Gastroenterology & Hepatology
关键词[WOS]ELECTROHYDRAULIC LITHOTRIPSY ; LASER LITHOTRIPSY ; BILIARY STONES ; HEPATOLITHIASIS ; GALLSTONES ; INVITRO
英文摘要

AIM: To verify the safety and efficacy of plasma shock wave lithotripsy (PSWL) in fragmenting impacted stones in the bile duct system.

METHODS: From September 1988 to April 2005, 67 patients (26 men and 41 women) with impacted stones underwent various biliary operations with tube (or T-tube) drainage. Remnant and impacted stones in the bile duct system found by cholangiography after the operation were fragmented by PSWL and choledochofiberscopy. A total of 201 impacted stones were fragmented by PSWL setting the voltage at 2.5-3.5 kV, and the energy output at 2-3 J for each pulse of PSWL. Then the fragmented stones were extracted by choledochofiberscopy. The safety and efficacy of PSWL were observed during and after the procedure.

RESULTS: One hundred and ninety-nine of 201 impacted stones (99.0%) in the bile duct system were successfully fragmented using PSWL and extracted by choledochofiberscopy. The stone clearance rate for patients was 97% (65/67). Ten patients felt mild pain in the right upper quadrant of the abdomen, and could tolerate it well. Eleven patients had a small amount of bleeding from the mucosa of the bile duct. The bleeding was transient and stopped spontaneously within 2 min of normal saline irrigation. There were no significant complications during and after the procedure.

CONCLUSION:PSWL is a safe and effective method for fragmenting impacted stones in the bile duct system. (C) 2006 The WIG Press. All rights reserved.

语种英语
WOS记录号WOS:000239993700025
引用统计
被引频次:1[WOS]   [WOS记录]     [WOS相关记录]
文献类型期刊论文
条目标识符http://ir.bjmu.edu.cn/handle/400002259/59511
专题北京大学第三临床医学院_普通外科
作者单位1.Peking Univ, Hosp 3, Dept Surg, Beijing 100083, Peoples R China
2.Chinese Acad Sci, Inst Phys, Beijing 100037, Peoples R China
推荐引用方式
GB/T 7714
Xu, Zhi,Wang, Li-Xin,Zhang, Neng-Wei,et al. Clinical application of plasma shock wave lithotripsy in treating impacted stones in the bile duct system[J]. WORLD JOURNAL OF GASTROENTEROLOGY,2006,12(1):130-133.
APA Xu, Zhi.,Wang, Li-Xin.,Zhang, Neng-Wei.,Hou, Chun-Sheng.,Ling, Xiao-Feng.,...&Zhou, Xiao-Si.(2006).Clinical application of plasma shock wave lithotripsy in treating impacted stones in the bile duct system.WORLD JOURNAL OF GASTROENTEROLOGY,12(1),130-133.
MLA Xu, Zhi,et al."Clinical application of plasma shock wave lithotripsy in treating impacted stones in the bile duct system".WORLD JOURNAL OF GASTROENTEROLOGY 12.1(2006):130-133.
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