Whether kidney stones 0.8 mm need lithotripsy should be combined with the patient’s specific situation, you can always try general treatment, medication, if you can not discharge the stone can try extracorporeal shock wave lithotripsy, if still can not discharge the stone can be considered surgical treatment.
1. General treatment: 0.8 mm kidney stone volume is small, usually does not cause obvious clinical symptoms, the patient should drink more water, appropriate exercise, to help the stone discharged by itself, you can also use medication for lithotripsy treatment.
2. medication: uric acid stones can be oral allopurinol, sodium potassium citrate, cystine stones can be oral sodium potassium citrate or sodium bicarbonate, infectious stone medication should be based on the results of urine culture sensitivity test, select sensitive antibiotics such as levofloxacin, oral methionine, and so on.
3. Extracorporeal Shock Wave Lithotripsy: Extracorporeal Shock Wave Lithotripsy is a therapeutic method that utilizes shock waves generated outside the body to focus on the stones in the body so that they can be crushed and then discharged out of the body to achieve the therapeutic purpose.
The indications include: stones in the renal pelvis or upper and middle calyces with a diameter of <20mm; stones in the lower calyces of the kidneys with a diameter of <10mm; 10~20mm, excluding the unfavorable factors of extracorporeal shock wave lithotripsy, extracorporeal shock wave lithotripsy can be preferred; stones with a diameter of >20mm but <30mm, or part of the dehiscence-shaped stones with a surface area of <500mn².
4. Surgical treatment: For those who are ineffective in the above conservative treatment, ureteral lithotripsy can be considered to actively remove the stones.
Patients with kidney stones of 0.8mm should go to the hospital in time for regular treatment under the guidance of doctors.