РЕНТГЕН-ЭНДОСКОПИЧЕСКОЕ ЛЕЧЕНИЕ СТРИКТУР ВЕРХНИХ МОЧЕВЫХ ПУТЕЙ

Abstract

The purpose of this work is: to evaluate the effectiveness of X-ray endoscopic methods of treatment of strictures of the upper urinary tract. Patients and methods: the results of examination and treatment of 134 patients (age 24 to 78 years, 51 men, 83 women) with supravesical obstruction due to stricture or obliteration of the hospital, who were on inpatient treatment at the Urology Clinic UKB №2 of the First MGMU them. THEM. Sechenov, who underwent endoscopic treatment (balloon dilatation, endopyelotomy, endoureterotomy, recanalization of the ureter, installation of the stent Memokat). Results: 116 (86.6%) patients achieved good and satisfactory results. The best results were obtained in patients with stricture up to 1 cm, which performed a combination of balloon dilatation and laser endotomy (95.8% efficacy). Unsatisfactory results of endotomy were noted in 18 (13.4%) observations. 15 patients underwent various reconstructive operations. Nephrectomy was performed in 3 (2.2%) patients due to loss of kidney function in case of severe stricture recurrence. Conclusion: in the presence of strictures of the VMP, endotomy is indicated for patients with primary or postoperative strictures of the VMP up to 2 cm. The best results are achieved in the treatment of patients with strictures up to 1 cm and with the combination of balloon dilatation and laser incision. The obtained data point to the effectiveness and expediency of the selected minimally invasive treatment tactics, which makes it possible to reduce the likelihood of open surgical benefits in some patients.