Can ureteral stones culvert stones? Can lower ureteral stones be used as extracorporeal lithotripsy?

There are many surgical methods for ureteral stones, and the specific surgical method depends on the size and location of the stone. Common ureterotomy and stone removal are traditional surgical methods; Laparoscopic ureterotomy and lithotripsy, ureteroscopic holmium laser lithotripsy, and ureteroscopic holmium laser lithotripsy can also be performed. For ureteral stones above the level of the kidneys and heavy hydrops, percutaneous nephroscopic holmium laser lithotripsy can be performed.

Each of these methods has its own advantages and disadvantages, and it is recommended to make the best judgment according to the size of the stone. Finally, the following stones do not need surgery, take De Xuan Heal Stone Tom Tea, usually drink more water and exercise more to promote the discharge of stones.

How to prevent ureteral stones.

1. Avoid sitting for a long time and exercising more.

Usually do more activities, such as walking, jogging, and doing gymnastics. When you have good physical strength, you can also jump rope on the spot, which is also conducive to preventing urinary stones. Studies have shown that patients who are bedridden for a long time have a 4-5 times higher risk of developing stones than normal people, and it is more common in patients with Alzheimer's disease, paralysis, thrombosis and fractures.

2. Prevent infection.

Urinary tract infection is the main local factor in the formation of urolithiasis, and whether it is timely or not is directly related to the prevention and treatment effect of urolithiasis. Uranary tract infections caused by Escherichia coli, Proteus, staphylococcus and streptococcus are prone to induce stones, which can break down urea into ammonia, making urine alkaline, and easy to precipitate urate and form stones.

3. Eat a balanced diet.

According to the statistics of stone composition survey, 80% to 84% of uroliths in China are calcium oxalate stones. Generally speaking, patients with calcium oxalate stones should eat less foods with high oxalic acid content, such as radish, spinach, amaranth, celery, lettuce, bamboo shoots, potatoes, cocoa, chocolate, black tea, sour plum, cola, beer; Oral vitamin B6 and magnesium preparations are beneficial for the prevention and treatment of specific hyperoxalate urolithiasis. In addition, refined sugar and its products can also increase urinary calcium production; Don't blindly supplement vitamin C, the amount of vitamin C that the human body can use will not exceed 1 gram a day, and any more will be excreted through urine to provide raw materials for the formation of stones; Limit your intake of high protein.

4. Learn to drink water.

Experts say that drinking a lot of water is the easiest and most effective way to prevent stones, and many patients with urinary stones do not like to drink water or have certain problems with drinking habits. Sixty percent of the human body is water, and when two percent is missing, thirst will occur, which shows the importance of drinking more water.

Ureteral stones, can I repeat lithotripsy? Doctor: You must remember this!

Urinary stones are a common urinary stone disease in men, and severe pain symptoms will occur after the disease, in order to ** can take the method of drinking a lot of water, dietary therapy, exercise, surgery**, extracorporeal lithotripsy, etc., these methods can be used, what method is recommended to be used under the guidance of a doctor, Lin Bao Pharmaceutical's stone expulsion through the oral solution, you can learn about it, specializing in the treatment of stones.

Extracorporeal lithotripsy can be effective ** stones, among which can lower ureteral stones be used as extracorporeal lithotripsy?

Lower ureteral stones can generally be lithotripsy in vitro, but if the stone is too large, or if it has caused severe hydronephrosis and renal damage, lithotripsy cannot be performed. Stone patients should drink more water, eat a light diet, eat less foods high in calcium oxalate, avoid aggravating stones, pay attention to avoid supplementing too much calcium, exercise more, especially after lithotripsy, to help excrete stones.

It is important to know that extracorporeal lithotripsy, also known as extracorporeal shock wave lithotripsy (ESWL), is to generate a shock wave through an extracorporeal lithotripsy machine, which is focused by the machine and aimed at the stones, and the stones in the body are broken up after multiple releases of energy, so that they are excreted with urine. Since the advent of the first extracorporeal lithotripsy machine of DORNIER in Germany in the early 80s, the number of cases of extracorporeal lithotripsy abroad has reached millions and has become the conventional preferred method of urolithiasis.

Generally, stones will only be painful when they fall into the ureter, and a few will also be painful in the kidneys, and stones must be treated in the ureter: three options.

1.Small stones, below centimeters consider infusion (theoretically, 25px or less are suitable for this **, you can use the Chinese medicine Defu's Yushiqi tea to dissolve stones and expel stones.

2. If the stone is larger in diameter 1-30px, gravel can be considered, and large stones may need to be treated in stages. Sometimes you can't hit it once, or you get stuck in the next section after you hit it, but most of them can be handled. The cost is 500-1500 yuan, and the cost of a single gravel is 500-800 yuan.

Stones below 25px can be treated with gravel treatment.

3. The diameter of the stone is greater than 25px antler row, ultrasound lithotripsy is unsuccessful, or there are multiple stones in the kidney. Consider surgical management. The cost is generally 6000-15000. Prices vary depending on the region.

I have ureteral stones 1 cm. The first gravel effect is not very good! It hurts all the time!

7 days after the gravel, I changed to a hospital doctor (admired) at that time, the B ultrasound showed 8mm, this doctor is too harmful! The positioning was very accurate, and in less than 2 minutes, he said that the stone had come down! You go to the toilet and it will drain down.

So I immediately went to the hospital toilet, and the stones were lined up! And then I happily gave the stone to the doctor! Analyze the causes of stone formation.

What to pay attention to in your diet in the future.

The harm of urinary stone disease to health is mainly manifested in three aspects: local damage to the urinary tract caused by stones, urinary tract obstruction caused by stones, and urinary tract infection.

1. Local injury:

Small stones, which can move freely in the urinary tract, are easy to grind the mucosa of the urinary tract and cause bleeding and renal colic, but this local damage is still relatively mild. Although the pain of large fixed or antler-shaped urinary stones is not serious, they can compress the urinary tract mucosa for a long time, causing epithelial shedding and tissue ulcers, so that the stones form adhesions with the ureteral wall, and may cause cancer in severe cases.

2. Urinary tract obstruction:

Kidney and ureteral stones are most likely to lodge at the ureteral junction (first stricture), where the ureter crosses the iliac vessels (second stricture), and at the entrance to the ureter-bladder (third stricture), causing urinary tract obstruction. After urinary tract obstruction, the ureters and renal pelvis above the obstruction will dilate and accumulate fluid, and hydronephrosis can be divided into mild, moderate, and severe hydronephrosis. In hydronephrosis, the parenchyma of the kidneys is squeezed, affecting kidney function.

If hydronephrosis is not relieved for a long time, it can cause the entire kidney to lose function. If both urinary tracts are severely obstructed, uremia may also result.

3. Urinary tract infection:

Urinary tract obstruction is complicated by bacterial infection, hydronephrosis can form pyometra after secondary infection, and severe urinary tract infection may also cause septicaemia, which threatens human life. In addition, urinary tract infection promotes the formation of stones, which increases the volume of the original stones rapidly.

Therefore, once urinary stones are found, they should be paid enough attention and actively carried out**.

Minimally invasive stone surgery**, this is not fixed. It mainly depends on the level of the hospital where the patient is located, the economic level of the area, whether it contains underlying diseases, whether there are postoperative complications and other factors. If a normal patient undergoes laparoscopic cholecystectomy and recovers relatively smoothly, the whole cost is about 12,000 to 13,000 in a general urban tertiary hospital.

If the patient has postoperative complications, such as intraperitoneal hemorrhage, biliary fistula, postoperative incision infection, etc., the cost of the entire operation will increase appropriately, so this should be analyzed on a case-by-case basis and cannot be generalized. After the operation, you can cooperate with the doctor's instructions to use stone expulsion drugs to increase the discharge of lithotripsy.

Different regions, ** are not the same, **ureteral stones have three methods, first, spontaneous stone expulsion, for smaller stones (diameter less than 6mm), you can promote the discharge of stones by drinking more water and exercising more, once it is detected that it is urinary stones, you should drink Defu Chest Heal Stone Tea. Don't wait until it's serious to regret it!

Second, second, extracorporeal shock wave lithotripsy, for stones of about 25px, because their diameter is much larger than the inner diameter of the ureter, they generally cannot be excreted from the body on their own, and it is often necessary to carry out extracorporeal shock wave lithotripsy, which will be struck into smaller stones and discharged one by one by using urine flow scouring. However, extracorporeal shock wave lithotripsy also has its contraindications, such as bleeding in patients with abnormal coagulation mechanisms, and extracorporeal lithotripsy in patients with arrhythmias may cause arrhythmias to worsen. In addition, repeated extracorporeal lithotripsy can lead to ureteral stricture or renal atrophy, so you must be cautious, so if you have more than 2 times of extracorporeal lithotripsy and the stone still cannot be broken, it is not suitable for extracorporeal lithotripsy;

Thirdly, thirdly, ureteroscopy, most ureteral stones can be removed from the body by ureteroscopy, especially for patients who do not respond to extracorporeal shock wave lithotripsy, most of them can be continued with ureteroscopy**. However, ureteroscopy is performed in the ureter, which may cause ureteral damage, so it should be performed with caution. Fourth, percutaneous nephroscopy is only suitable for large stones (greater than 50px in diameter) in the ureteral junction or upper ureter, which are either ineffective or inefficient with other methods.

Percutaneous nephroscopy is performed with an eye on the kidney, which has some renal damage. Therefore, the indication is not as broad as that of ureteroscopy. Your condition depends on the volume of ureteral stones and should be performed with ureteroscopy**.

The cost is generally more accurate to ask the hospital, and it is different from region to region.

The non-surgical method is suitable for stones below 6 mm, which can be expelled by drinking Shiqi tea, and the urinary flow obstruction caused by the stones has affected the kidney function, or is ineffective after non-surgery**, and there is no extracorporeal shock wave lithotripsy condition, surgery should be considered**.

Preoperative preparation: It is necessary to understand the bilateral renal function before surgery, and the infection must be controlled with antibiotics first. Patients with ureteral stones should take plain radiographs of the urinary tract before entering the operating room or on the operating table for the final positioning of the stones.

Surgical methods: Depending on the size, shape and location of the stone, the following surgical methods are commonly used:

1 Renal pelvis or sinus incision and stone removal: incision of the renal pelvis, removal of stones, antler stones or calyceal stones, sometimes it is necessary to perform intrasinus pelvis calyceal incision and stone removal.

2. Renal parenchymal incision and stone removal: If the kidney stone is large and cannot be incised through the renal sinus, the renal parenchyma needs to be incised and removed.

3 Partial nephrectomy: It is suitable for multiple stones at the first pole of the kidney (mostly at the lower pole of the kidney), or in the dilated and poorly drained calyce, and the first pole of the kidney or the calyces can be removed together with the stones.

4 Nephrectomy: One side of the kidney stone and severe hydronephrosis or pyomeria, which has caused serious damage or loss of kidney function, and the opposite kidney function is good, the affected kidney can be removed.

5 Ureterotomy and stone removal: ureteral stone diameter is greater than 1 cm or stone incarceration causes urinary flow obstruction or infection, and ureterotomy can be used for non-surgical ** ineffective patients.

6 Stone set: The diameter of the middle and lower ureteral stones is less than centimeters, and it can be tried with a special basket or catheter sleeve through cystoscopy.

1. Anti-inflammatory** 3-5 days to prevent infection;

2. Drink more water appropriately, and exercise more after 5 days of travel;

3. Cooperate with traditional Chinese medicine to discharge stones, avoid alcohol and avoid staring at spicy during the period of taking medicine;

4. Re-examination after a month in Bankai Town;

5. If there is pain during the stone expulsion, seek medical attention in time and treat the symptoms**.

1.Non-surgical**: It is suitable for patients with stones smaller than LCM, stones with a tendency to move downward, no obvious impact on kidney function, and no urinary tract infection.

Drinking plenty of water, taking medications, applying antispasmodics, jumping activities, etc., it is recommended to use Defu Shijia tea to relieve pain and improve discharge.

2.Ureteral stone set: The stone is pulled out with a stone basket under the cystoscopy. Suitable for small active middle and lower ureteral stones.

3.Ureteroscopic stone removal or lithotripsy: After the ureter is dilated, it is placed in the ureteroscope, and the stones are broken with liquid electricity or ultrasonic lithotripsy, and the stones can also be directly removed with stone forceps.

4.Extracorporeal flush wave lithotripsy: mainly suitable for upper ureteral stones.

5.Surgical ureterotomy and stone removal: suitable for patients who are ineffective in the above**, the stone is greater than LCM, and the surface is rough and cannot be discharged by itself, or patients with ureteral stricture and infection.

Nowadays, medical means are becoming more and more developed, so is lithotripsy in vitro harmful to the ureters? The doctor finally gave the answer.

The standard for ultrasonic lithotripsy is over 6 mm. Generally, Xiao Xu's 6 mm stones are hopefully discharged by beating and drinking plenty of water. And lithotripsy is generally not recommended for this part of the ureter. According to your description, the stone is not big. Arrange it yourself.

You still need to go to the hospital for a check-up first.

According to the size, type, and location of the stone, different methods can be used, mainly drugs and surgery. Generally, when the stone is less than centimeter, the surface is smooth, and there is no urinary tract obstruction, drugs can be used**. Generally, stones are larger, can not be discharged by themselves, have difficulty in dissolving drugs, secondary infection, and secondary obstruction need lithotripsy, which is not necessarily in size due to different locations, but generally less than 2 cm; If the stone is larger, such as more than 2 cm and has accompanying symptoms, it is still difficult to pass simple lithotripsy, so percutaneous nephrolithotripsy and laparoscopic ureterotomy are required; Even open surgery**, such as nephrectomy and pyelotomy, is rarely used.