According to Hubei Jingshi news, recently, Wuhan Jingdu Stone Hospital successfully completed several cases of “double mirror combined” minimally invasive kidney-preserving stone removal surgery, successfully removing huge kidney stones from patients.
And these patients have one thing in common, that is, they usually don’t have any pain symptoms. What is going on?
The man suffered from kidney stones and died without pain
5 years later, small stones “occupy” the kidneys
Mr. Su is 35 years old this year. Kidney stones were found, but he didn’t take it to heart because he usually had no symptoms of pain. Until one night in July this year, Mr. Su was awakened by a severe abdominal pain. He went to the hospital for an examination and found that the small stone in his right kidney five years ago had actually grown into a 5-centimeter antler-shaped boulder, which scared him. arrive.
Because of the limited conditions in the hospital, in order to deal with the stone problem more efficiently, he rushed to Wuhan Jingjing Stone Hospital, which specializes in stone treatment.
After careful treatment by doctors in our hospital, the large stone in Mr. Su’s right kidney was successfully removed at one time. In addition to being happy, he couldn’t help but feel scared: “It’s too scary! I don’t feel it at all, I really didn’t expect it to grow so big, and I won’t dare to take chances in the future.”
The patients with huge stones “get together. “
Weak health awareness is a common problem
Coincidentally, there are many people in the ward who share the same disease as Mr. Su.
Ms. Li, 55, went to a local hospital for a check-up because of blood pressure problems in July this year, and accidentally found that a five The six-centimeter “coral” stone made her and her family feel very surprised. “Usually it doesn’t hurt or itches, but a Big Mac is found after an examination. I blame myself for not having the habit of doing physical examinations!” Until she was in Kyoto, Wuhan After the stone was successfully removed at the stone hospital, she still had lingering fears.
Such a large kidney stone
Why does the patient feel nothing?
Wuhan Jingshi Hospital, Deputy Director of Urinary Stones, Wang Bo, explained that the formation of cast stones is a slow process. Intrarenal pressure does not increase, it will not produce obvious clinical symptoms.
After the cast stone is formed, due to its large size, it is difficult to move in the kidney, so it is difficult to form obstruction, so it is not easy to appear obvious. clinical symptoms.
Asymptomatic large stones
invisible kidney damage
Wang Bo pointed out that cast stones are stones with a special shape in the kidney, like cement cast Filling in the collecting system of the kidney, it is one of the most difficult types of kidney stones to treat.
The picture shows the patient’s abdominal plain film
The stones in the kidneys of Mr. Su and Ms. Li belong to cast kidney stones. If kidney-like stones are not treated in time, the stones will continue to grow until they completely fill the entire kidney, which will seriously affect the patient’s renal function, and there will be a risk of kidney atrophy at any time.
Not only that, cast kidney stones often have a large load and high hardness, and the risks of intraoperative and postoperative hemorrhage, septic shock, and residual stones are extremely high, so the treatment is also very difficult.
●Extracorporeal shock wave lithotripsy and other methods are usually ineffective, and it is easy to cause complications such as renal hemorrhage and ureteral “stone street”; Disadvantages such as high risk and long hospitalization time have also been gradually eliminated.
●If the lithotripsy is performed with a simple electronic flexible endoscope, it also needs to be treated in stages, and the patient needs to be hospitalized for many times. The overall treatment cycle is long and the economic burden is heavy.
Generally speaking, for the treatment of huge kidney stones, double mirror combined with minimally invasive nephrolithotomy is a good choice. This operation is the operation with the highest technical requirements and the highest risk factor in the field of urinary calculi, especially for complex cast calculi like Mr. Su and Ms. Li, which tests the surgeon’s skills very much.
In recent years, the minimally invasive stone extraction technology in the Urology Department of Wuhan Jingshi Hospital has made great progress, especially in the double-endoscopy combined technique for complex kidney stones. The size and other circumstances determine different surgical methods, thereby reducing the risks of bleeding, complications, and residual stones.
Regular physical examination is essential
early treatment if stones are found
“We should have the habit of regular physical examination, early detection and early treatment, so as to reduce the damage to The lowest.” Wang Bo reminded the general public to be vigilant about kidney stones, and once a kidney stone is found, whether there are clinical symptoms or not, it must be observed and monitored according to the doctor’s order. Kidney stones that reach the treatment indications should go to a regular hospital for stone removal treatment in time.