What are the treatments for ureteral stones?

Guard**. 1) Drinking a large amount of water to increase the amount of water intake can reduce the concentration of calculus in the urine, reduce the chance of precipitation of stones, promote the discharge of small stones, and also facilitate the drainage of infection. Therefore, patients with stones should develop the habit of drinking more water and maintain a daily urine output of more than 2000 to 3000ml.

2) Adjust the diet: Determine the stone-proof diet according to the composition of the stones. Fruits and vegetables can make urine alkaline, which is good for preventing uric acid and cystine stones. Meat food makes the urine acidic, which is better for preventing stone infection.

Phosphate stones can be treated with a low-calcium, low-phosphorus diet. Calcium-containing kidney stones should avoid high calcium, high salt, high oxalic acid, high animal protein, high animal fat and high sugar, and adopt a high-fiber diet.

3) Control urinary tract infection stones, obstruction and infection often form a vicious circle in the body, so when stones are co-infected, stones should be examined and ** under the condition of infection control.

4) In the case of renal colic, the pain should be relieved first, and the acute treatment of severe renal colic, abdominal distention, nausea and vomiting should be mostly in infusion and local hot compress. Acupuncture and auricular acupuncture have analgesic effects. Injections of indomethacin have a better effect on pain relief.

5) Stone expulsion**Most stones with a diameter of less than 10px can often be discharged by themselves, and stones with a diameter of 25px or individually, smooth surface, no obvious obstruction and infection symptoms, take traditional Chinese medicine that is conducive to stone discharge, such as Chinese medicine sagebrush tea for stone dissolving and discharge.

6) Dissolved stone**.

Mechanical lithotripsy, hydroelectric lithotripsy, ultrasonic lithotripsy, etc., after going to the hospital for examination, you can choose the most suitable method for yourself, I wish you good health.

(a)**.

1.Non-surgical**.

1) General**: drink a lot of water, 2000ml d, can not drink water or vomit should be given intravenous infusion, and at the same time with painkillers and antispasmodic drugs or other **such as acupuncture and traditional Chinese medicine** to help the stone discharge.

2) Passing stones**: according to the size and location of ureteral stones, whether there is urinary tract infection and the anatomical characteristics of the urinary tract**. Located in the lower ureter, diameter <04 cm =""90=""4=""0=""5=""9mm=""50=""Only 20% of 6mm can be discharged.

**If the stone fails to pass after 6 months, it is necessary to check the kidney function to find out whether there is any urinary tract infection and obstruction, so as to decide to continue observation or take active surgery**. 0

3) ESWL: With the continuous accumulation of clinical experience in ESWL and the improvement of lithotripters, the indications of ESWL for ureteral stones continue to expand. No obstruction of the ureter in the distal segment of the stone and no impact on the posterior lithotripsy of the stone are all indications for ESWL**.

4) Ureteroscopy**: Generally speaking, ureteroscopic stone removal can be performed on ureteral stones at any part of the ureter. However, at present, it is believed that it is better to have ** middle and lower segment stones, ultrasonic lithotripsy, hydroelectric lithotripsy, laser lithotripsy, barometric ballistic lithotripsy and electronic kinetic energy lithotripsy under ureteroscopy.

The first two methods have been largely abandoned due to their large tissue damage.

2.Surgery** Stones have been diagnosed for a long time, and those who have tried various non-surgical methods that have failed to do so should consider surgery as soon as possible, especially those with obvious water accumulation above the stones. 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. According to the location of ureteral stones, different surgical paths are adopted, and attention should be paid to fixing the stones during the operation to avoid slippage. The ureter is cut at the upper edge of the stone, the patency of the ureteral catheter is probed up and down after the stone is removed, a double-J tube is placed, and the ureter is sutured.

Plain radiographs of the urinary system must be taken before surgery to determine the location of the stone and select the best surgical incision.

Indications for surgery are: ureteral perforation or ureteral stricture during ureteroscopy; ureteral diverticulum complicated by stones; Stone diameter" or the surface of the stone is rough and polygonal; prolonged incarceration, severe ureteral obstruction and upper urinary tract infection; Non-surgical** not effective.

ii) Prognosis. There is no relevant information at this time.

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

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

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 for observation, but also to extubate for the second time, and the rest is the same as 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 be completely **, 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.

Go to the hospital for surgery to suck it out.

Hello: Be sure to be positive**! General**:

1.Diuretic: No matter what type of stone you have, the most important thing is to increase your water intake.

Water dilutes the urine and prevents high concentrations of salts and minerals from accumulating into stones, and also helps to pass stones. Therefore, stone patients should develop the habit of drinking more water and maintain a daily urine output of more than 2000 to 3000ml.

2.Stone discharge**: For stones with a diameter of less than 0 5 cm, stone removal can be used**, and the commonly used in this regard is the differentiation and erosion of stones from Depu's Scutar Tea, so that the stones are reduced and discharged.

3.Control of urinary tract infection: Stones, obstruction and infection often form a vicious circle in the body, so when stones are co-infected, stones should be examined and ** under the condition of infection control.

It is often considered to be caused by ureteral stones, accompanied by symptoms such as difficulty urinating, labor, and bloating.

Guidance: It is recommended that you actively integrate traditional Chinese and Western medicine after finding out the cause through abdominal color ultrasound, blood routine and other examinations**.

1.Non-surgical**: Suitable for patients with stones smaller than LCM, stones with a tendency to move downward to the old age, no significant impact on renal function, and no urinary tract infection.

Drink plenty of water, use antispasmodics, jump activities, etc. Small stones can be drunk Yu Shibei tea is not bad for urinary stones, and it can be used for a long time.

2.Ureteral stones: Ureteral stones are pulled out with a stone basket under a cystoscopy, which is suitable for small mobile 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.

6.Drink plenty of fluids: Drinking plenty of water can dilute the urine and promote the passage of stones, which can help control infection, delay the growth of stones, and prevent stones after surgery**.

7.Patients with renal colic attacks should be stopped: in addition to analgesics and antispasmodic drugs, acupuncture can be combined with acupuncture**, acupuncture of kidney Yu, Jingmen, and Sanyinjiao, which has the effect of relieving pain and spasmodic. Topical warm compresses in the renal area can also be used.

8.Chinese herbal medicine stone drain**: The composition of the formula is desmodium, psyllium, stone reed, talc, hollyhock, Sichuan hyssop, husk, laifuzi, and zexiao, and is treated with syndrome differentiation. In general, small stones can be successfully expelled with Chinese medicine within an average of 30 days after they are lowered into the ureter.