Kidney Stone Surgery 20, How to do kidney stone surgery

Mild hydronephrosis", "a lot of small stones", depending on this situation, your condition is not very serious.

Now it's all extracorporeal lithotripsy, why do you still have surgery? Where are you? I didn't ask for money for extracorporeal lithotripsy in Nanjing, generally around 900.

Of course, Chinese medicine has a recipe for fossil drainage, I ate it when I had kidney stones, you can go to a regular Chinese medicine hospital to have a look.

2-3w in one operation? Oh my God, how do I feel that you are hacked, I suggest you change to a large, conscientious hospital.

Calcium oxalate stones are the most common type of stones, I remember accounting for more than 70%, which is very high anyway.

Don't be too psychologically burdened, it's important to have a good attitude! Sometimes you can get out of it by jumping on the stones. That time, the doctor gave me a B-ultrasound examination, and used the scanning machine to press my body, and the stones fell down the urethra, hehe.

Also, don't trust the third floor!

I'm not a good guy, but I hope I can help you.

I've been working in clinical practice, and I've seen this kind of thing, and the best way to do it is surgery.

For your physical condition, the doctor will consider all aspects of your body and do all the examinations before giving you surgery.

It turns out that the surgical site has left a scar and narrow, which is more likely to be blocked, and Chinese medicine should be used**. ** help can be provided, no prescription of traditional Chinese medicine is provided.

Now it seems that there is extracorporeal shock wave lithotripsy, and the cost is not clear.

Surgical methods for kidney stones mainly include:

1. Ureteroscopic surgery: including soft and hard scopes, soft scopes are often used for renal pelvis or kidney stones, and the stones are taken out of the body after the stones are crushed;

2. Percutaneous nephroscopic surgery: it can reach the kidney, renal pelvis and renal calyces and other parts, and remove the stones after crushing the stones, especially for cast stones;

3. Laparoscopic surgery: If there are a large number of stones in the renal calyces, patients with renal insufficiency or recurrent infections can remove the stones under laparoscopy.

Kidney stone surgery is a major surgery. At present, the main surgeries for kidney stones are percutaneous nephroscopic holmium laser lithotripsy, ureteroscopic holmium laser lithotripsy, pyelotomy and laparoscopic pyelotomy and stone removal. At present, more and more minimally invasive surgical methods are used.

If the diameter of the kidney stone is less than centimeters, ureteroscopic holmium laser lithotripsy may be considered. If the stone is larger than centimeter in diameter and hydronephrosis is heavy, percutaneous nephroscopy or laser lithotripsy may be considered. If there is also a narrowing of the junction between the kidney and the ureter, laparoscopic pyelotomy and stone removal may be considered for nephrolithiasis.

Open nephrotomy and stone removal are rare.

At present, most of the most minimally invasive surgical methods for kidney stones are used, and the commonly used surgical methods are ureteroscopic lithotripsy and percutaneous nephrolithotripsy. The flexible ureteroscope adopts the reverse ant collision pathway, inserts the guidewire into the ureter, and after the ureteroscope is dilatated by the ureteroscope or the flexible scope sheath, the ureteroscope enters the renal pelvis along the guidewire and finds the stone, and the holmium laser is used to crush the stone into a fine gravel that is easy to discharge, and the larger stone can be taken out by using a stone mesh basket. Percutaneous nephrolithotripsy is under ultrasound or X-ray positioning, through the low back fine needle puncture directly to the renal calyces or renal pelvis, dilation and establishment of ** channel into the kidney, take stones or lithotripsy under nephroscope, smaller stones are taken out by nephroscope with stone grabbers, larger stones will be crushed and washed out with water and land.

At present, open surgery for kidney stones is rarely used, and the commonly used surgical methods are: pyelotomy and stone removal, renal parenchymal incision and stone removal, partial nephrectomy, etc.

Whether or not a kidney stone requires surgery** depends on factors such as the size of the stone, the location of the stone, and the patient's condition. It is recommended that you first go to a regular hospital for urine routine, B ultrasound and other examinations to understand the stone situation, and then choose the corresponding ** method.

1) For small stones with a diameter of less than 6mm, if the patient does not have urinary tract obstruction, drug stone expulsion** can be used. That is, drinking a lot of water, taking stone expulsion drugs, adjusting diet and other methods to help the stone pass on its own, and patients with colic use chiropractic and antispasmodic lifts**. The commonly used Chinese patent medicines for expelling stones in clinical practice are:

Urolithiasis pills, stone excretion granules, etc. For example, urolithiasis pills are suitable for the early stage of the occurrence of various stones**, which can speed up the expulsion of stones.

2) Extracorporeal shock wave lithotripsy. For stones of 1cm-2cm, they can be broken with external impact before expelling stones**.

3) Percutaneous nephrolithotripsy. It is suitable for kidney stones of 2cm or above, and kidney stones below 2cm with ineffective extracorporeal lithotripsy or with obvious hydronephrosis can be used to treat skin therapy with percutaneous nephrolithotomy.

4) Ureteroscopic lithotripsy. It is suitable for larger ureteral stones**, and is characterized by no incision, safe and non-invasive, and less pain for patients. It is recommended that the best hospital related to kidney stones is to go to a hospital with a good reputation or a public tertiary hospital, so that it is more secure in any aspect.