| 等离子体冲击波碎石术治疗胆道镜难以取出的嵌顿结石 |
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| 引用本文： | 王立新,徐智,张能维. 等离子体冲击波碎石术治疗胆道镜难以取出的嵌顿结石[J]. 中华肝胆外科杂志, 2000, 6(2): 117-119 |
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| 作者姓名： | 王立新 徐智 张能维 |
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| 作者单位： | [1]北京医科大学第三医院外科 [2]中国科学院物理研究所 |
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| 摘 要： | 目的 应用等离子体冲击波碎石治疗术后胆管残余嵌顿结石。方法 通过胆道镜引入定向得爆破石仪（ＰＳＷ－Ｃ）探头治疗４４例常规胆道镜难以取出的胆道术后残余结石共１０１块。结果 碎石成功率为９９％（１００／１０１），击碎一块结石所需发放冲击波２～５００次，平均６０次，平均每例病人作胆道镜２．８次，无严重不良反应。结论 等离子体冲击波碎石是一种较理想的配合胆道镜碎石的方法，值得推广。
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| 关 键 词： | 纤维胆道镜 等离子体冲击波 胆管残余嵌顿结石 |
| 修稿时间： | 1999-02-05 |
Clincial application of plasma shock wave lithotripsy for the treatment of postoperative residual stones impacted in biliary duct |
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| WANG Lixin,XU Zhi,ZHANG Nengwei,et al.. Clincial application of plasma shock wave lithotripsy for the treatment of postoperative residual stones impacted in biliary duct[J]. Chinese Journal of Hepatobiliary Surgery, 2000, 6(2): 117-119 |
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| Authors: | WANG Lixin XU Zhi ZHANG Nengwei et al. |
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| Affiliation: | WANG Lixin,XU Zhi,ZHANG Nengwei,et al. Department of Surgery,The Third Hospital of Beijing Medical University,Beijing 100083 |
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| Abstract: | Objective Using plasma shock wave lithotrpsy to treat postoperative residual stones impacted in biliary duct. Methods Altogether 101 residual impacted stones which failed in a basket extraction were broken by plasma shock wave lithotripsy via a choledochoscope and then removed in 44 postoperative patients after biliary operation. Results The success rate was 99%(1/101) without severe complication. Conclusions Plasma shock wave lithotrpsy combined with choledochoscopy is effective in fragmentating and then extracting impacted residual biliary stones. |
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| Keywords: | Choledochoscope Plasma shock wave lithotripsy Postoperative Residual stone Impaction |
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