| Autor: |
Lev E. Belyi, Artem V. Klochkov, Vladimir V. Klochkov, Alexander G. Shmyrin |
| Jazyk: |
English<br />Russian |
| Rok vydání: |
2024 |
| Předmět: |
|
| Zdroj: |
Клинический разбор в общей медицине, Vol 5, Iss 6, Pp 63-68 (2024) |
| Druh dokumentu: |
article |
| ISSN: |
2713-2552 |
| DOI: |
10.47407/kr2024.5.6.00436 |
| Popis: |
Background. Over the past decade, percutaneous nephrolithotripsy (PNL) has become one of the most popular treatments for urolithiasis. The reason is the high efficiency of the method in combination with a low incidence of complications and a shorter period of hospitalization. However, the effect of PNL on renal function has not been sufficiently studied. The aim of this study was to evaluate changes in renal hemodynamics and kidney function in the early postoperative period after PNL. Patients and Methods. The clinical data of 18 patients who underwent PNL were analyzed. Serum creatinine levels were determined in all patients before and after PNL, glomerular filtration rate was calculated, and ultrasound examination of the kidneys with dopplerography of renal blood flow was performed. The size, density of the stone and its localization in the kidney were determined using computed tomography. Results. The average size of the stones was 224.4±38.5 mm2, the average density was 1152±76 HU. The duration of surgical intervention is 96.1±9.2 minutes. In 7 patients after PNL, creatinine levels decreased compared to preoperative, while in the remaining 11 patients, creatinine levels increased in the early postoperative period (p |
| Databáze: |
Directory of Open Access Journals |
| Externí odkaz: |
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