Posted by admin | 2017-10-08
We feel afraid to hear kidney stones? Kidney stones are common diseases of the urinary system, it is the body of calcium metabolism caused by calcium abnormalities in the urinary tract deposition. Kidney stones will cause low back pain in patients, gross hematuria, fever and even kidney dysfunction and other injuries. Once the kidney stones must be taken seriously, the stone size is different, the treatment is also very different. The following is an introduction of kidney stone size classification treatment.
Maximum diameter of not more than 6mm, and the number of not more than 3 kidney stones can be treated with drugs stone removal
Many people are diagnosed with kidney stones without any symptoms of the disease. This is often a small size or a stone that is not easily moved inside a renal bulb. For this part of the maximum diameter of not more than 6mm, and the number of not more than 3 kidney stones, you can take medication stone removal treatment, patients also need a lot of water, more exercise to help Pai pai. After 1 to 2 months of conservative treatment, the patient may be reexamined to confirm if the stone has been evacuated.
Not all small stones can be discharged through the medicine, which with its position in the kidney are closely related, such as do not through Paishi drugs, patients through the water to prevent stone becomes large, and close follow-up stone changes, treatment at the right time according to the doctor's advice for professional.
Diameter of 1cm or so kidney stones can be used in vitro shock wave lithotripsy treatment
Extracorporeal shock wave lithotripsy, ureteral soft mirror laser lithotripsy, percutaneous nephrectomy laser lithotripsy and other advanced treatment methods make the treatment of kidney stones into the minimally invasive era. For isolated, no more than 1cm diameter of the kidney stones, the first consideration for the extracorporeal shock wave lithotripsy, this method of injury is small, fast recovery, low cost, low hardness of the stones have a good effect. However, if the kidney stones are too large, especially the diameter of more than 1.5cm or poor position, such as stones in the case of the kidneys, you can not use the external shock wave lithotripsy treatment.
The use of extracorporeal shock wave lithotripsy in the treatment of kidney stones in a short time should not be more than 3 times, and each interval of at least 2 weeks or more, otherwise the affected side of the kidney damage, resulting in renal atrophy, renal dysfunction and other injuries.
Diameter of not more than 2cm stones can be used ureter soft mirror laser lithotripsy treatment
Ureteroscopic laser lithotripsy is a new type of minimally invasive surgery, the treatment of diameter is not more than 2cm larger stones is very effective, through a special soft ureteroscopy, into the renal pelvis, the front can do 180 degrees Bending, according to the need to enter the upper and lower calyx, so as to capture the stones hidden in the calyx, and stones through the laser crushing, the stones in the kidney can be obtained through the stone basket basket will be broken stones.
Calculations with a diameter greater than 2 cm can be treated with percutaneous nephrolithotomy
For the largest diameter of more than 2cm of kidney stones, especially the antlers, percutaneous nephrolithotomy is the best choice. Under the guidance of ultrasound, through the back of the skin directly puncture the kidneys, the establishment of channels, in the external TV screen monitoring under the laser gravel, gravel can be directly washed through this channel. The existing negative pressure suction system in the gravel at the same time can directly attract broken stones, greatly improving the efficiency of gravel.
Percutaneous nephrolithotomy is a minimally invasive operation, the treatment of large stones, fruit rate is high, but after the bleeding, the risk of infection, but with the progress of technology, this risk is gradually reduced, part Patients due to bleeding, infection, the volume of stones and other reasons for the pision of surgery is also necessary.
Kidney stones open surgery is rarely used, but if the patient has ureteral twist stenosis, no functional kidney, etc., or the need for open surgery. Kidney stone lithotripsy, ureteral indwelling stent tube is also necessary, which can ensure smooth drainage of urine, protect renal function, but also conducive to the discharge of broken stones and renal pelvis ureteral mucosal repair.
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