[Modern technologies in diagnosis and treatment of patients with late stages of hydronephrosis].
To evaluate the role of modern ultrasonic, x-ray and radionuclide methods in staging hydronephrosis; that of stimulators of stem cells of the bone marrow in combined therapy of patients with late hydronephrosis, we examined and treated 18 patients with late-stage hydro- and ureterohydronephrosis. All the patients were operated. Preoperative preparation included drainage of the upper urinary tract and stimulation of bone marrow stem cells. Organ-saving surgery was conducted with a satisfactory functional result in 14 of 18 patients. Modern methods of investigation provide an objective assessment of structural-functional condition of the kidneys and upper urinary tract in patients with late hydro- and ureterohydronephrosis, may evidence for possible reversibility of registered uro- and hemodynamic alterations. Preoperative use of stimulators of bone marrow stem cells promotes activation of repair processes in renal parenchyma which is essential for efficacy of a further reconstructive operation.
Aliaev
Iu G
IuG
Pal'tsev
M A
MA
Grigorian
V A
VA
Enikeev
M E
ME
Lysenko
A I
AI
Chinenov
D V
DV
D000293:Adolescent; D000328:Adult; D000368:Aged; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D006869:Hydronephrosis / Q000175:diagnosis / Q000601:surgery; D007668:Kidney / Q000098:blood supply / Q000000981:diagnostic imaging / Q000601:surgery; D007677:Kidney Function Tests; D008297:Male; D008875:Middle Aged; D019651:Plastic Surgery Procedures / Q000379:methods*; D012079:Renal Circulation; D014055:Tomography, Emission-Computed; D036542:Tomography, Spiral Computed; D018608:Ultrasonography, Doppler; D014513:Ureter / Q000000981:diagnostic imaging / Q000601:surgery; D014515:Ureteral Diseases / Q000175:diagnosis / Q000601:surgery; D014567:Urography; D013520:Urologic Surgical Procedures / Q000379:methods*