Clinical application of plasma shock wave lithotripsy in treating impacted stones in the bile duct system

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	Clinical application of plasma shock wave lithotripsy in treating impacted stones in the bile duct system
	Xu, Z ; Wang, LX ; Zhang, NW ; Hou, CS ; Ling, XF ; Xu, Y ; Zhou, XS
刊名	WORLD JOURNAL OF GASTROENTEROLOGY
	2006
卷号	12 期号:1 页码:130
关键词	ELECTROHYDRAULIC LITHOTRIPSY LASER LITHOTRIPSY BILIARY STONES HEPATOLITHIASIS GALLSTONES INVITRO
ISSN号	1007-9327
通讯作者	Xu, Z: Peking Univ, Hosp 3, Dept Surg, 49 N Garden Rd,Haidian Dist, Beijing 100083, Peoples R China.
中文摘要	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.
收录类别	SCI
语种	英语
公开日期	2013-09-17
内容类型	期刊论文
源URL	[http://ir.iphy.ac.cn/handle/311004/34746]
专题	物理研究所_物理所公开发表论文_物理所公开发表论文_期刊论文
推荐引用方式 GB/T 7714	Xu, Z,Wang, LX,Zhang, NW,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.
APA	Xu, Z.,Wang, LX.,Zhang, NW.,Hou, CS.,Ling, XF.,...&Zhou, XS.(2006).Clinical application of plasma shock wave lithotripsy in treating impacted stones in the bile duct system.WORLD JOURNAL OF GASTROENTEROLOGY,12(1),130.
MLA	Xu, Z,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.