METHOD LITOKINETICHESKOY THERAPY IN ureteral stones

摘要

Method litokineticheskoy therapy of urolithiasis, characterized than that carried out a clinical examination of the patient: US kidney, bladder, sightseeing, excretory urography, complete blood count, urinalysis, blood chemistry (creatinine, urea, uric acid), based on which identify informative features and assign them the values ​​of the corresponding functions belonging to the classes: fi- shows litokineticheskaya therapy, namely, the localization of the stone (x): if the upper third of the ureter, then assign zna chenie membership function equal to 0.05 if the middle third - 0.07, the bottom third - 0.35; stone size (x): If ≤3 mm then 0.5, if the 4 mm - 0.3 if 5 mm - 0.2; stone shape (x): a smooth, rounded or oval - 0.1, irregular, prickly - 0; duration standing concretion in the ureter (x): less than 10 days - 0.1 10 days or more - 0; ureteral contractile according excretory urography (x): ureter expanded to 10 mm - 0.2, ureter expanded 10-15 mm - 0.05 ureter expanded more than 15 mm, crimped - 0; and the class of ω- contraindicated litokineticheskaya therapy, namely the kidney parenchyma thickness (x): if 4-6 mm, then - 0.25, if less than 6 mm, then 0.5, if more than 6 mm - 0; stricture underlying ureter (x): luminal narrowing ureter without significant expansion suprastenoticheskogo - 0.1, with the restriction suprastenoticheskim expansion - 0.8; a fixed C-shaped bend below ureteral stone (x): if less than 30 ° - 0.6, 30-60 ° - 0.5, 61-90 ° - 0.3, more than 90 ° - 0; S-shaped bend below ureteral stone (x): is - 0.5, no - 0; ureter (x) underlying stone: ureteroceles (x): is - 0.7, no - 0; BPH with subtrigonalnym growth