1. drug therapy
(1) Analgesic treatment: The first episode of renal colic can be relieved by non-steroidal anti-inflammatory drugs such as diclofenac sodium and indomethacin; If the pain persists, dihydromorphinone, pethidine and buguisol can be combined with atropine, anisodamine and other antispasmodic drugs to relieve the pain and calm down.
(2) Anti-infection treatment: Acute attacks in kidney calculi are often accompanied by infection, so antibiotics should be used in time.
(3) Anti-calculus drug therapy: The available drugs include diclofenac sodium suppository, A receptor blocker (tamsulosin), potassium sodium citrate, sodium bicarbonate tablets, etc. , only applicable to a few smaller kidney calculi.
(4) Lithotripsy: Dissolving stones or stone fragments by chemical method can completely remove stones, which is an effective auxiliary treatment method and has obvious curative effect on infectious stones, cystine stones and uric acid stones.
2. Extracorporeal shock wave lithotripsy: It is suitable for renal pelvis and upper middle calyx stones with a diameter of 5 ~ 20mm, but not suitable for pregnant women and patients with distal urinary tract stenosis, coagulation dysfunction, renal failure, acute urinary tract infection, severe arrhythmia and oversized stones.
3. Surgical therapy
(1) Percutaneous nephrolithotomy: It is mainly used to treat complicated kidney calculi, such as kidney calculi ≥2 cm, staghorn stones, multiple kidney calculi and stones that failed to be treated by extracorporeal shock wave.
(2) Ureteroscopic lithotripsy: Suitable diameter
(3) Open surgery: because of its great trauma, it is rarely used at present, and it is only used when other surgical treatments have contraindications, complications or treatment failure.