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Natural and medical sciences

2022 Issue №2

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Mavlyanov F. Sh. Mavlyanov Sh. Kh.

Results of surgical treatment of obstructive uropathies in children depending on the level and degree of obstruction

Pages
98-107
hydronephrosis megaloureter ureterohydronephrosis congenital kid­ney pathology diagnosis treatment results kidney ultrasound results of treat­ment doppler X-ray planimetry

Abstract

The study assessed the functional state of the kidneys and urodynamics in 207 patients aged 3 to 17, depending on the degree, level and type of conge­ni­tal obstruction of the upper urinary tract. The congenital hydronephrosis was found in 151 children of those, the obstructive ureterohydronephrosis — in 30, and refluxing ureterohydronephrosis in 26 patients. The transformation of the kidney and upper urinary tract in obstructive uropathy in children before and after surgical treatment was monitored with the help of ultrasound and X-ray methods. The results showed that in grade II urinary tract obst­ruc­tion, the rate of good outcomes after reconstructive surgery was significantly higher than in grade III, regardless of the cause of the congenital obstruction. The frequency of satisfactory and unsatisfactory postoperative results also de­pended on the degree of initial obstruction.