How are ureteral stones treated? How ureteral stones are treated

Ureteral stones are a common occurrence of urinary stone disease, and their causes are related to diet. Patients with ureteral stones should always pay attention to dietary care in their daily life to ensure that they can recover as soon as possible.

For stones with a diameter of most of the components, some common conservative methods are generally used, especially for ureteral stones with smooth surface, no obvious obstruction and infection symptoms, and the use of heal stone tom tea diuretic stone excretion.

What are the common care measures for ureteral stones?

1. Pay attention to drinking more water and holding less urine to prevent excessive urine concentration. For patients, the daily water intake should not be less than 250ml to reduce the precipitation of solids in the urine, in order to prevent the formation of new stones.

2. Try to increase the amount of activities, such as running, jumping, skipping rope, going up and down stairs, etc. These exercises can encourage the stones to move and explode.

3. If the patient has reached the stage of long-term bed rest, the family members of the patient's friends should help the patient to move more and turn over frequently, which can reduce bone rebirth and bone calcium, and can improve the smooth flow of urine to a certain extent.

4. Eat less foods rich in calcium and oxalic acid, such as beans, spinach, milk, coffee, etc.

5. Physical exercise is essential. Intensive exercise can increase the patient's immune function; Improve the working environment and avoid long-term operation at high temperatures; Targeted improvement of water quality and reduction of drinking water containing too many minerals are the fundamental ways to prevent the formation of stones.

If the stone is less than 1cm and there is no obvious urinary tract infection, you can drink a lot of water and take traditional Chinese medicine to promote the expulsion of the stone. However, if the stone is large, ureteroscopic lithotomy and extracorporeal shock wave lithotripsy can be used, and it is recommended that you go to a regular hospital for a detailed examination, follow the doctor's instructions, and take the appropriate method.

Conservative** and minimally invasive surgery**.

Medications**] 1.Control of urinary tract infections. 2.

Commonly used drugs include diuretics, ureteral smooth muscle dilators, and anti-inflammatory and anti-edema drugs. Among them, commonly used ureteral dilators include, receptor blockers; Anti-inflammatory and anti-edema drugs mainly include corticosteroids and state-resistant non-steroidal anti-inflammatory drugs.

Minimally invasive surgery mainly includes extracorporeal shock wave lithotripsy (ESWL), ureteroscopic stone removal (URL), percutaneous nephrolithotomy (PNL), flexible ureteroscopy, laparoscopic ureterotomy and stone removal, etc.

Prognosis] generally has a good prognosis, and positive ** can clear stones, relieve symptoms, and protect kidney function, but if the factors of stone formation are not removed, it is easy **.

Ureteral stones refer to stones obstructed in the ureters, causing ureteral dilation, and even renal hydrops, causing symptoms such as renal colic, and patients will experience nausea and vomiting. The method needs to be individualized according to the specific situation, and the common methods are as follows:

1. Stones with a diameter of <6mm, the shape is relatively smooth and easy to discharge, and the conservative method can be used to pass the drug**, **The method is as follows:

1. Application of anti-inflammatory drugs: quinolones or cephalosporin third-generation antibiotics can be used, such as levoxixacin, cefixime, etc.**;

2. Application of antispasmodic drugs: resorrogallol, progesterone, tamsulosin or calcium ion blockers can be used, which can better stretch ureteral smooth muscle and urethral smooth muscle, which is conducive to the downward movement of stones;

3. Application of analgesics: non-steroidal anti-inflammatory analgesics, such as celecoxib, erecoxib, diclofenac sodium, etc.

2. If the patient is conservative for 2 weeks and the effect is not good, intervention is required, and the methods are as follows:

1. Extracorporeal rush lithotripsy: It has a good effect on the upper ureteral calculi below 1cm, and you can try the lower middle and lower segments and 1cm calculus lithotripsy;

2. Surgical lithotripsy: ureteroscopic lithotripsy is a common method for ureteral stones, which enters the ureter through a mirror and crushes the stones out. In addition, a flexible ureteroscope can be used to remove the stone, and if the stone travels up the ureter into the kidney, the stone can be removed with a one-time surgery.

For higher ureteral stones, percutaneous nephroscopy can be used to crush the stones anteriorly from top to bottom and remove them.

1. Conservative**.

1.Drink plenty of water.

Most patients go to the hospital and find that the patient's urinary stones are small, and the doctor will recommend that the patient drink more water and do not need surgery**. Ureteral stones are small, but when they are painful, they can be painful. Therefore, in order to pass the stones early, patients should develop the habit of drinking more water and reduce the concentration of urinary stones.

2.Control of urinary tract infections.

Magnesium ammonium phosphate stones are a common type of ureteral stones, and if they are co-infected, the symptoms will be more obvious. To control the condition, urinary tract infections should be controlled. 2. Surgery**.

Surgery is suitable for those with large ureteral stones and obvious symptoms, the purpose of which is to break up the stones and expel them.

1.Surgery**.

Large stones, low chance of self-draining, surgery is required**. If the stone is complicated by obstruction, surgery is also required**. In recent years, lithotripsy instruments have become more and more advanced, attracting a large number of ureteral stone patients.

First of all, how are your stones? Without knowing your condition, I can only tell you the common methods, and then you can choose for yourself.

The vast majority of ureteral stones** occur in the kidneys, including kidney stones or stone fragments that fall after an extracorporeal shock wave. Because urine salt crystals are more likely to be excreted into the bladder with urine, primary ureteral stones are rare. In the presence of predisposing factors such as ureteral strictures, diverticulums, and foreign bodies, urinary retention and infection can contribute to the development of ureteral stones.

The commonly used methods mainly include: first, drugs, there are anti-stone drugs, mainly Western medicines, these drugs add hormones and other ingredients to fossils, dissolve stones, the body is large, and you must be cautious when using them. Then there is traditional Chinese medicine, Chinese medicine in China, mainly regulating the internal environment, so that the simple and virtual measures can achieve a balance, eliminate the living space of the virus, not only no damage to the body, but also no ***, both the symptoms and the root causes.

For example, Miao Zhai stone elimination formula, decoction pieces of decoction for internal use of stones, decoction of internal administration is the easiest to absorb internal dosage form, ****, strong stone discharge. Pure natural wild herbs, without adding any ingredients, will not appear, and will not cause any damage to the body, is an effective, zero-risk treatment of ureteral stones.

Second, it is the in vitro lithotripsy of each species**, although the lithotripsy is fast, but the positioning accuracy is not easy to grasp, therefore, it may be necessary to carry out early lithotripsy many times**.

Third, surgical stone removal, the stone has been diagnosed for a long time, and it is advisable to consider surgery as soon as possible after trying various non-surgical methods, especially those with obvious water accumulation above the stone should be given priority. Ureterotomy and stone removal may be done. The advantage of ureterotomy is that the surgery is small, the stone can be removed completely, or even both ureteral stones can be removed at the same time in a single operation.

The disadvantage is that the damage to the body is large, large, easy, and expensive.

The first type is that if the patient's stones are small and easy to pass out of the body, they can be treated with stone removal drugs**.

In the second case, if the stone is large and cannot be eliminated from the body on its own, it is necessary to pass extracorporeal lithotripsy and then let the patient exclude it.

The third is to use surgery to remove the stone.

Shi Jing - Chief Physician - Ureteral Stones Methods of Stone Expulsion.

It can be discharged through drugs, with more water and exercise, and for some relatively large stones, extracorporeal shock wave lithotripsy can be done to break large stones into small ones, and then discharge them through this ureter and bladder. Or take it with stone removal drugs and drink plenty of water at the same time. Stone Drink Ye promotes stone expulsion, Lin Bao Pharmaceutical's stone excretion through the oral solution, you can learn about it, specializing in stone discharge.

What should ureteral stones do**? Ureteral stones tend to cause great distress to patients. Patients with ureteral stone disease are stuck in the ureters because the stones are stuck, and the water of the kidneys cannot be discharged, and the renal capsule will swell and stretch open, which will cause severe pain in the waist and abdomen.

What should ureteral stones do**?

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 Yuejiarong 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.

The first is to start with two aspects of ureteral stones, one is to have the primary disease, such as metabolic disorders, infections or pre-existing anatomic factors; On the other hand, there is the treatment of the complications of stones, i.e. obstruction, infection. It is best to go to a large hospital with conditions, and extracorporeal shock wave lithotripsy has a good effect on large stones.

Ureteral stones should be treated as soon as possible to avoid serious complications, such as hydronephrosis. If it is judged that the DAO ureteral stones are relatively small after examination, you can consider being conservative**, drinking more water every day, exercising more, urinating more, and taking oral stone removal drugs**. If the stone is large, lithotripsy or surgery may be considered.

Expert Q&A. ** method of ureteral stones.

He Feng. Chief physician.

Department of Urology, Beijing Jishuitan Hospital.

Methods for ureteral stones include symptomatic, drug, shock wave lithotripsy, and minimally invasive surgery.

1.Symptomatic**: Mainly to relieve renal colic (pain in the lower back and abdomen). Commonly used drugs include atropine, hyoscyamine, etc., which can effectively relieve renal colic.

2.Medications**: Patients with ureteral stones with a diameter of 6 mm, no obvious urinary tract obstruction and infection, can choose to pass stones with drugs**. Commonly used medications for expelling stones** include proprietary Chinese medicines, diuretics, and ureteral smooth muscle dilators.

3.Surgery**: The effect is clear, the trauma is small, and the complications are few, and it is the routine means of ureteral stones. Commonly used surgeries include extracorporeal shock wave lithotripsy, ureteroscopic lithotomy, percutaneous nephrolithotomy, flexible ureteroscopy, and laparoscopic ureterotomy and stone removal.

4.Other**: Drink plenty of water. Increasing water intake can reduce the concentration of stone-forming components in the urine, reduce the chance of precipitation of stone, promote the excretion of small stones, and also facilitate the drainage of infection.

The first grade of kidney and ureteral stones should be specifically analyzed according to the size, location, number, shape, one or both sides of the stone, whether there is urinary flow obstruction, concomitant infection, degree of renal function impairment, general condition and ** conditions, etc., and comprehensively consider. However, when colic attacks, the symptoms should be relieved first, and then the ** regimen should be chosen.

1. First of all, let's talk about it, if the ureteral stone is about 2cm, we can consider using drugs to **, the effect of traditional Chinese medicine stone discharge is very good, because 2cm is generally not too serious, the stone is relatively small, you can use some stone removal medicine, usually drink more water, jump more can help to remove stones, you can drink Huang Shi Qi tea to help remove stones, if the stones are too big, choose other methods.

2. Secondly, if you have to do surgery, it can also be regarded as a minor operation, but different surgeries are different, such as extracorporeal lithotripsy, or minimally invasive surgery. If it is a surgery, it should be around 3000-5000, and the specific charges vary from hospital to hospital.

3. Finally, if there are stones, we should pay more attention in our daily lives, especially in terms of diet and lifestyle. In terms of diet, you should eat more fresh vegetables and fruits, and the most important thing is that you should pay more attention to exercise and not sit for a long time.

So what are the methods of ureteral stones**?

1. Drink plenty of water.

Most patients go to the hospital to see a doctor, in fact, this method is not very correct, after examination, the patient's urinary tract stones are very small, in this case the doctor will advise him to drink more water, no need for surgery**. Ureteral stones are small but painful, so in order to pass them as soon as possible, patients should develop the habit of drinking plenty of water to reduce the concentration of the stones.

2. Control urinary tract infection.

Ureteral stones are easy to co-infect, and if they are co-infected, the symptoms will be more obvious, so in order to effectively control the condition, the best way is to control the urinary tract infection.

3. Adjust your diet.

Unhealthy eating habits are one of the causes of disease. For the sake of the disease, the first task is to adjust the diet, patients with ureteral stones should eat more vegetables and fruits, eat more meat, eat more low-purine foods, and eat more low-methionine foods.

4. Inject anti-inflammatory drugs.

Abdominal colic is one of the symptoms of ureteral stones, ** before, in order to effectively relieve the phenomenon of pain, injection of indomethacin is one of the most effective pain relief methods, in addition, we can also choose the way of infusion, which can quickly relieve the symptoms.

5. Surgery**.

Surgery is appropriate for ureteral stones that are large and symptomatic, with the aim of breaking down the stones and passing them. If the stone is complicated by obstruction, surgery should also be performed**. In recent years, increasingly advanced lithotripsy instruments have attracted a large number of patients with ureteral stones.

If bilateral ureteral stones are associated with obstruction, pyeloplasty is required to correct the obstruction, and parathyroid surgery is required if hyperthyroidism is present. Although surgery can bring better results, we should also master certain skills based on the actual situation of the individual.