Nephrolithiasis Shock wave lithotripsy treatment for ureteral stones

1. The effect of extracorporeal shock wave lithotripsy is still relatively certain, but it is related to the performance of the lithotripsy machine and the experience of doctors.

2. Hematuria after lithotripsy is very common, and it is generally temporary, just drink more water.

3. Most of the pain after lithotripsy is caused by obstruction caused by the excretion of stone fragments, most of which can be discharged by drinking more water, jumping, etc., if it cannot be relieved, you can go to the hospital with antispasmodic drugs, such as hyoscyamine, progesterone, etc., if it cannot be relieved, ureteroscopic lithotripsy may be required.

4. The effect of ureteroscopic lithotripsy is better than that of extracorporeal shock wave lithotripsy, but it requires hospitalization, anesthesia, and the trauma is slightly larger than that of extracorporeal shock wave lithotripsy, and the cost is also higher.

5. After the stone is solved, it is necessary to recheck it regularly and develop the habit of drinking more water, because the stone is very easy.

I don't know the specifics of my own history.

I'll give you an earthwork There is a kind of grass called urine beads (wild coix, Buddha bead grass) used to fry water and drink, three times a day, it can be discharged in a week, and the big soybeans can be discharged. Many of us use this method, and the effect is very good.

Extracorporeal shock wave lithotripsy is suitable for brittle phosphate stones with a diameter of less than that, but the stones should be in the upper part of the ureter, and the success rate of the lower part is not as high as that of endoscopic stone removal.

Analysis:

Hello, this depends on the size, number, location, mobility of the stones, the presence or absence of obstructive infection, and the degree of pathological damage to the renal parenchyma. Mild cases can be completely asymptomatic, and severe cases can cause anuria and renal failure.

Exhaust. There are ** methods for stones. Symptomatic**:

Antispasmodic, analgesic, rehydration, anti-inflammatory, traditional Chinese medicine**. Kidney stones are generally in the following are drug expulsion of stones, commonly used drugs such as nephrolithidule granules, stone expulsion granules, etc. Extracorporeal shock wave lithotripsy is greater than the above, and surgery is possible if the above is greater**.

Advice: It is recommended that you jump more and drink more water in the future.

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 upper ureteral is dilated, and the inner diameter indicates that the diameter of the stone may be around the right, and it is unlikely that the number of deviations will be spontaneous. In addition, the pain is obvious, indicating that the stone is moving, and it is necessary to seize the time to lithotripsy**. At present, gravel is the simplest and most effective, and gravel can be considered first**.

If it doesn't work well, consider something else**. In short, do not let the stones stay in one place for too long, so as not to aggravate the infection or eventually form adhesions, inconvenience to the first or cause unnecessary complications of the potato stall.

There are several ways to get the best options for kidney and ureteral stones:

1. Surgery**, advantages: generally smooth stone removal. Disadvantages: **Higher, traumatic, risky, easy to postoperative**, generally take Chinese herbal medicine after surgery in order to prevent **.

2. Extracorporeal shock wave lithotripsy, advantages: the trauma is smaller than that of surgery, the risk is smaller, it is not expensive at a time, and it is generally effective, and the disadvantages: it is generally difficult to break all at one time, and it needs to be beaten many times, even if it is difficult to discharge all after breaking, it is easy to drain it with Chinese herbal medicine.

3. Ballistic shock wave lithotripsy, advantages: the effect of lithotripsy is better than that in vitro, disadvantages: expensive, complex operation, often to be hospitalized to observe the oak quietly, but also to extubate twice, the rest of the same in vitro lithotripsy.

4. Chinese herbal medicine Depu Yu Shi Bao Tea**, advantages: the risk of trauma is small, not after healing, disadvantages: only about 80% can completely cure the slag of the beam shed, and those who are ineffective still need to use other methods.

To sum up, I think that the best way is still Chinese herbal medicine, and only when the use of Chinese herbal medicine is ineffective, do you choose other methods.

1.Extracorporeal shock wave lithotripsy center of Xinguang Hospital, this method is simple, small damage, easy to operate, less complications and less cost. 2.

Ureteroscopic lithotripsy, for stones that remain for a long time and form wrapped ureteral stones, extracorporeal lithotripsy may not be solved, then ureteroscopic lithotripsy can be selected, ureteroscopic lithotripsy is a minimally invasive surgery with little damage. However, a certain amount of technique is required, and some complications may occur. It is also more expensive than extracorporeal lithotripsy.

3.Those who do not have the above conditions may choose to have a ureterotomy and stone removal. 4：

Analyze it on a case-by-case basis based on your own situation.

The common methods of ureteral stone lithotripsy are as follows: 1. Extracorporeal shock wave lithotripsy, which accurately locates the stone by X-ray or ultrasound, and uses high-energy shock wave to focus and crush the stone, which is suitable for patients with acute ureteral stone obstruction, normal renal function and no concurrent infection. 2. Percutaneous nephroscopic ultrasound or laser lithotripsy, suitable for patients with upper ureteral stones with stone diameter, or patients with multiple stones in the kidney.

3. Holmium laser lithotripsy under ureteroscopy is suitable for patients with extracorporeal lithotripsy of stones in the middle and lower ureters**, long stone obstruction, and severe hydronephrosis.

There are three ways to get ureteral stones.

First, spontaneous stone discharge, for smaller stones (diameter less than 5mm), you can promote stone discharge by drinking more water and exercising, generally after a period of time, most small stones can be spontaneously discharged, if the stone is too large, the width of the stone is greater than the inner diameter of the ureter, the use of drugs to discharge stones is not suitable, at this time the stone is not able to pass through the ureter, it is recommended to cooperate with elm stone tea can help you improve the discharge.

Second, for stones of about 1cm, because their diameter is much larger than the inner diameter of the ureter, they generally cannot be discharged from the body by themselves, and it is often necessary to carry out extracorporeal shock wave lithotripsy to form large stones into smaller stones, and use urine flow to flush out the body one by one. 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;

Third, 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 (more than 2 cm 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**.

It depends on where your ureteral stones are located? Upper, middle or lower? How big are your stones? Is it a lithotripsy or surgery based on size? Is there any obstruction?

There are three ways to treat kidney stones:

1. For stones with a diameter of less than 10 mm, herbal medicine can generally be taken, and the old Chinese medicine exclusive Chinese herbal medicine boils water to drink to help remove stones, and the effect is the most obvious, and it has received rave reviews. (You can learn about WeChat).

2. For stones with a slightly larger volume (about 10 mm in diameter), if the kidney function is good and there is no urinary system obstruction, an extracorporeal shock wave lithotripsy can be used with a lithotripter.

3. For stones with large volume (diameter of more than 12 mm) and comorbidities such as hematuria, infection, tumor or urinary system obstruction, surgical stones should be performed.

Suggestion: The main substances of stones are calcium, oxalic acid, and uric acid.

First, you should drink a lot of water, and drink it in large gulps, drinking 2000-3000ml of water every day.

Second, the diet tends to be low in animal protein, low in animal fat, and high in vitamins, and limit calcium-rich foods such as dairy products and refined white flour (milk is best not to drink before bed); Eat less spinach, tomatoes, asparagus, strong tea and other foods containing oxalic acid; Avoid eating animal offal.

Hello, when there are stones, there is a possibility of self-discharge, and it is possible to discharge them by drinking more water. The stones need extracorporeal shock wave lithotripsy, and it may also be discharged by taking some stone removal drugs. If the stone is discharged, it may be relatively small, and if you consider surgery**, you can do percutaneous nephrolithotripsy or open stone removal.