V.V. Chernenko, V.M. Shylo, N.O. Saidakova, D.V. Chernenko

Complications risk factors after some endoscopic methods of stone removal in the patients with ureterolithiasis

The work is dedicated to studying the risk factors in developing the complications in the pa­tients with ureterolithiasis after stone removal by endoscopic methods.

Much attention was paid to the concomitant pathology the importance of which as unfavorable factor increases in connection with ageing of popu­lation. It's health aggravation often is accompanied with multiorgan pathology.

The object of study was 219 patients - 99 of them underwent the ureteral stone removal by contact laser lithotripsy, 68 - ureterolithoextraction with ureteral orifice incision and 52 - contact pneu­matic lithotripsy. Case histories, in- and out-patient documentations were analyzed. The lists of the follow-up factors and their signs turned to be prospectively known. However, as the result of the quantitive assessment (score), it became possible to single out the most important of them. We received the evidence of the high self-descriptiveness of both the concomitant diseases of kidney and urinary tract, and diseases of other organs and systems, particu­larly in cases of their common pathogenetic basis with urolithiasis (metabolism, musculoskeletal appa­ratus, hepatobiliary system, gastrointestinal tract). According to the index, the probability of compli­cations in patients with the concomitant pathology after contact laser lithotripsy was 7.2, uretero­lithotxtraction - 10.5, contact pneumatic llithotripsy

- 2.5 times higher in comparison with the cases of its absence.

There were received the objective additional data confirming the necessity in choosing the preparations for the complex treatment of patients with ureteral stones, accounting their peculiarities and ability of simultaneous promoting the prophy­lactics against development of pyelonephritis and exacerbation of the accompanying pathology.