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UDC  613.6:677

© B.K. Komyakov, B.G. Guliev, R.G. Shibliev, M.Yu. Alekseev, 2010

Komyakov B.K., Guliev B.G., Shibliev R.G., Alekseev M.Yu. Complications of percutaneous nephrolithotripsy // Preventive and clinical medicine. – 2010. - № 2 (35). – Р.

State educational institution of higher professional education «St. Petersburg State Medical Academy named after I.I. Mechnikov». Russia, 195067, St. Petersburg, Piskarevsky pr., 47, tel./fax: 8(812)543-01-26, e-mail: mechnik@gmail.com

Summary: Results of percutaneous treatment of 458 patients with renal stones. From them open surgical interventions are made 157 (68,3%), endoscopic treatment - 52 (22,6%) and nephroectomy - 21 (9,1%) to the patient. The good long-term results plastic interventions on ureteropelvic junction have been received at 114 (82,6%), after endoscopic interventions only at 39 (75,0%) patients. Percutaneous interventions are shown at secondary strictures of ureteropelvic junction, when performance of open surgical interventions are technically inconvenient, and at patients with a unique kidney are very dangerous.

Key words: renal stones; percutaneous treatment; complication.

Список литературы

1. Мартов А.Г. Рентген-эндоскопические методы диагностики и лечения заболеваний почек и верхних мочевых путей (суправезикальная эндоурология). Автореф. дисс. … д-ра мед. наук. –  М., 1993. – 76 с.

2. Cortellini P. Major complications of percutaneous  nephrolithotripsy (PCNL). Analysis of our cases / P. Cortellini, A. Frattini, S. Ferretti // Minerva Urol Nefrol. – 1997. –Vol. 49. - № 4. – P. 203–236.

3. Gremmo E. Hemorrhagic complications during percutaneous nephrolithotomy. Retrospective studies of  772 cases / E. Gremmo, P. Ballanger, B. Dore // Prog Urol. – 1999. – Vol. 3. – P. 460–463.

4. Kondas J. Splenic injury: a rare complication of percutaneuos nephrolithotomy / J. Kondas, E. Szentgyorgyi, L. Vaczi // Int. Urol. Nephrol. – 1994. – Vol. 26. - № 4. – P. 399–404.

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