International Medical Journal, Vol. 22., Iss. 3, 2016, P. 36−41.
ENDOSCOPIC TREATMENT OF COMPLICATED URETERAL CALCULI USING ULTRASOUND AND LASER CONTACT LITHOTRIPSY
Kharkiv medical academy of postgraduate education, Ukraine
At present urolithiasis is one of the most common diseases. When selecting the optimal method of treatment of ureteral stones, many factors, such as the size, localization of the stone, clinical characteristics, anatomical features, technical capabilities of the intervention, should be considered. The decision on the choice of treatment modality should be based on the balance between the cost and invasiveness of the procedure, the need for complete removal of the calculus and timely recovery of the patient. Comparative analysis of the results of ultrasound and laser contact lithotripsy in the treatment of complicated ureteral calculi was performed. The concept of a complex stone was introduced at analysis of the causes and the structure of complications and failures during contact ureterolithotripsy using ultrasonic lithotripter. Data analysis showed that the use of laser contact lithotripsy improves the results of complex treatment of ureteral stones, reduces the number of intraoperative and postoperative complications. This method contributes to a smoother course of the post−operative period, which reduces the cost of treatment, the length of the hospital stay and rehabilitation period of the patients.
Key words: ureteral stones, ultrasound contact uretherolithotripsy, laser contact ureterolithotripsy.