等离子体冲击波碎石术治疗胆道镜难以取出的嵌顿结石  

Clincial application of plasma shock wave lithotripsy for the treatment of postoperative residual stones impacted in biliary duct

作　　者：王立新[1] 徐智[1] 张能维[1] 邓绍庆[1] 徐瑶[2] 任燕 周孝思[1] 

机构地区：[1]北京医科大学第三医院外科,100083 [2]中国科学院物理研究所

出　　处：《中华肝胆外科杂志》2000年第2期117-119,共3页Chinese Journal of Hepatobiliary Surgery

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微爆破石仪 (PSW G)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 10 1块。结果　碎石成功率为 99% (10 0 / 10 1) ,击碎一块结石所需发放冲击波 2～ 5 0 0次 ,平均 6 0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 。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.

关 键 词：纤维胆道镜 等离子体冲击波 胆管残余嵌顿结石 

分 类 号：R657.42[医药卫生—外科学]