In order to better treat urological stone patients, recently, the first three-generation "in vitro physical vibration stone drainer" in eastern Guangdong settled in the Department of Urology of Shantou Central Hospital.
According to physicians, the instrument is suitable for patients with acute renal colic caused by urinary stones, patients with smaller kidneys and ureteral stones, and patients with residual stones treated with minimally invasive surgery. Combined with in vitro physical vibration stone removal therapy, the gravel can be discharged faster and more effectively, while reducing the potential risk of residual stones, thereby reducing the pain of patients.
Gravel residues may lead to recurrence of stones
"Urinary stones are very common in the coastal areas of eastern Guangdong. In recent years, with the improvement of people's living conditions, under the influence of poor lifestyle, the incidence of urinary stones has increased year after year. The urologist of Shantou Central Hospital explained that the most common treatment methods at present are extracorporeal shock wave lithotripsy, ureteroscopy and percutaneous nephrolitoscopic lithotripsy, and residual lithotripsy after surgery needs to be discharged by the patient. If the stone is not well discharged, it may lead to recurrence of the stone and repeated urinary tract infections, low back pain, local obstruction and other problems, making the patient miserable.
Recently, the newly introduced three generations of physical vibration stone dischargers in vitro in Shantou Central Hospital successfully cured a case of urinary stones. Uncle Zeng from Shantou City went to the urology department of the hospital for pain in his right waist and abdomen. After a plain abdominal examination, doctors found that there were stones in the upper and lower parts of the right ureter, and the stones were smaller.
The doctor told Uncle Zeng that he could consider physical vibration stone removal of the right ureteral stone, without hospitalization and anesthesia, and could go home after the operation. The first urination after physical excretion was found to have small gravel discharged, and two weeks later, Uncle Zeng returned to the hospital to review the abdominal plain film and found that the right ureteral stone had been completely discharged.
Physicians said that four groups of people can perform in vitro physical vibrational stone excretion: urinary stones smaller than 6 mm; treatment of stone removal after extracorporeal shock wave lithotripsy; application of residual stones after various endoscopic minimally invasive surgical treatments; and acute renal colic caused by urinary stones.
Ultrasonic machine tracking positioning, non-traumatized directional stone discharge
It is understood that the in vitro physical vibration stone discharging machine, using multi-faceted physical simple harmonic vibration inertial guidance technology for stone discharge, is a non-traumatic physical method, and the 2021 CUA guidelines recommend the clinical application of physical vibration stone discharger. The stone drainer can overcome the difficulty of discharging stones under the kidney, the anatomically abnormal mid-to-upper calculi, the extracorporeal shock wave lithotripsy or the soft microscopic lithotripsy, and improve the rate of stone discharge. During the operation, the ultrasonic machine is used to track and locate the position of the stone and the kidney cup in real time, so that the vibrator vibrates in the direction of the stone discharge channel to achieve directional stone discharge.
According to the physician, the stone drainage machine introduced this time can independently adjust and change the patient's position according to the different positions of the patient's urinary tract stones, adjust the axial direction of the internal structure of the kidneys, and use the main and secondary oscillators to carry out directional double vibration of the stones under the guidance of ultrasound in real time. Through four effects, namely the push effect of the main oscillator source, the suspension effect of the secondary oscillator source, the vortex effect of the main and secondary oscillators and the inertial effect of the inverted bed, the stone fragments disintegrate, suspend and follow the design route, and promote the active entry of the stones into the renal pelvis, ureter and bladder, so as to discharge the stones as soon as possible. "The transformation of the clinical treatment strategy of stones from passive stone removal to rapid active stone removal has created a new milestone in the treatment of urinary stones." The physician said.
The Department of Urology of Shantou Central Hospital is the Shantou Branch of the Etiology Diagnosis and Prevention Center of Urological Stones in South China, and has rich experience in the diagnosis and treatment of urological stones. The department is equipped with a fully digital color Doppler ultrasound diagnostic system for the accurate diagnosis of urinary stones, and carries out extracorporeal shock wave lithotripsy, ureteroscopic surgery, and percutaneous nephrocoscopy. The introduction of the latest three generations of physical vibration stone discharge machine will bring better diagnosis and treatment services to urological stone patients, and further improve the integrated diagnosis and treatment system for the diagnosis, treatment and prevention of urological stones in the Urology Department of Shantou Central Hospital.
[Reporter] Wang Hanqi
[Correspondent] Huang Qing, Li Weixi
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【Author】 Wang Hanqi
【Source】 Southern Press Media Group South + client