Yangtze River ** Wuhan Client December 13 "I don't have to suffer anymore, thank you very much. On the morning of December 12, in the Department of Urology of the First People's Hospital of Jiangxia District (Union Jiangnan Hospital), Grandma Liu, who had just finished the re-examination, clapped her hands and happily expressed her gratitude to the medical staff at the sceneThe family members of the same company sent a flaming red pennant to Ao Jinsong, director of the Department of Urology of the hospital, and turned a thousand words into a pennant of "excellence, medical ethics and virtue".
The patient's family sent the banner to the Department of Urology, the First People's Hospital of Jiangxia District.
It is understood that Grandma Liu, 83 years old this year, lives in Zhifang Street, Jiangxia District, and often feels soreness and discomfort in her waist. 1 month ago, the old man's condition worsened, hematuria symptoms, accompanied by his family to a number of hospitals in the city for examination, found that Grandma Liu's kidneys "grow" "antler" stones accompanied by severe hydronephrosis, learned that the operation is difficult, needs to be hospitalized for many times lithotripsy**, and there is a greater risk of bleeding, Grandma Liu's family is at a loss for a while.
After many inquiries, the family took Grandma Liu to the Department of Urology of the First People's Hospital of Jiangxia District (Union Jiangnan Hospital) for treatment.
After investigation, Grandma Liu had kidney stones in both kidneys, of which the right kidney stone reached 25×4.5 cm, and oddly shaped, like elk antlers, occupies almost the entire right renal pelvis and extends to multiple calyces in antler-like bifurcation. According to Dr. Zhu Chengcun of the Department of Urology of the hospital, this typical kidney "staghorn stone" is also known as "cast stone" in medicine, and it is the most "headache" urinary stone for urological surgeons. Such stones are generally huge and irregular, usually occupying the renal pelvis and part or all of the renal calyces, and the damage to the kidneys is relatively large, often accompanied by serious symptoms such as hydronephrosis and hematuria, so once found, it needs to be found as soon as possible**.
Bleeding and losing kidneys, infection is fatal' This is one of the reasons why many urologists dare not "pick up hard stubble", Ao Jinsong, director of the Department of Urology of the hospital, introduced that complex staghorn-shaped kidney stones like Grandma Liu have high difficulty coefficients in lithotripsy and stone removal, and the risks of blood and infection have high requirements for the operation technology, perioperative management, personalized surgical plan and equipment performance of the urology team.
Considering that Grandma Liu is old, in poor physical condition, has huge stones, and cannot tolerate the risks of long-term lithotripsy, anesthesia and surgical trauma, Director Ao Jinsong led the urology team to conduct multidisciplinary consultations with the Department of Neurology, Intensive Care Medicine, Respiratory and Critical Care Medicine, Cardiovascular Medicine, Anesthesiology, Nephrology and other departments of the hospital for many timesIn order to ensure that the stones are removed, the expert group finally formulated a personalized surgical plan for Grandma Liu with a combination of two mirrors - "right percutaneous nephroscopic ultrasound barometric ballistic lithotripsy under general anesthesia + right transurethral flexible lithotripsy + right percutaneous nephroscopic ureteral stent placement", which solved the problem of "antler stones" for Grandma Liu at one time.
According to the guidance of the expert group, after a week of adjustment and symptomatic treatment, Grandma Liu's physical indicators reached the conditions for surgery, and at about 8 o'clock on November 28, she was admitted to the urinary stone ** center of the hospital.
At the beginning of the operation, Director Ao Jinsong made an incision of about 1cm in the right waist of Grandma Liu, established a channel through the kidney, and used EMS ultrasound to quickly "knock apart" the huge stones under nephroscope.
At the same time, in order to remove all the stones, shorten the operation time, and reduce the risk of infection, Dr. Zhu Chengcun, the surgical assistant, turned the flexible ureteroscope sheath retrograde to the ureter (below the stone), and smashed the calyceal stones that could not be reached by the nephroscope through the flexible ureteroscope, "combining the two mirrors";After 2 hours of close cooperation, Ao Jinsong's team cleanly removed the stones and completely eliminated the "bomb" in Grandma Liu's bodyThe blood volume of the operation was only 50ml, and Grandma Liu said that her waist did not hurt anymore and was much more comfortable.
Doctors make postoperative ward rounds and give patients and their families the knowledge of preventing urinary stones.
On December 7, Grandma Liu had a follow-up CT examination, and the right kidney stone was cleared, and she recovered well and was discharged from the hospital.
Ao Jinsong, director of the Department of Urology of the hospital, reminded the general public: small stones can also cause big hidden dangers, seemingly inconspicuous kidney stones, if not treated for a long time or not treated in time, it will cause greater damage to the body. If kidney stones are found in the physical examination, they should be diagnosed as soon as possible, and regular reexaminations can be carried out when the symptoms are not obvious, and when there is pain in the lower back and abdomen, it is necessary to go to the hospital in time.
Yangtze River ** reporter Guan Xiaofeng, correspondent Chen Lin, Li Shangyun, Wang Bo).
Editor: Yu Lina].
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