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学科主题: 临床医学
题名:
Clinical application of plasma shock wave lithotripsy in treating impacted stones in the bile duct system
作者: 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
发表日期: 2006
卷: 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
Citation statistics:
内容类型: 期刊论文
URI标识: http://ir.bjmu.edu.cn/handle/400002259/59511
Appears in Collections:北京大学第三临床医学院_普通外科_期刊论文

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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

Recommended Citation:
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.
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