Место ретроперионеоскопического метода в лечении острого обструктивного калькулезного пиелонефрита

In the comparative analysis of the methods of patients treatment with acute obstructive calculous pyelonephritis without preliminary drain of renal cavity system (retroperitoneoscopic approach) was submitted the article, transurethral lithotripsy was performed after preliminary drain of renal cavity system by stent (comparative group 1), and percutaneous nephrolithotripsy, performed after nephrostomy (comparative group 2). Retroperitoneoscopic lithotomy was performed on the first day apply in the hospital. Lithotripsy were performed after treatment the attack of acute pyelonephrit. All patients of 3 groups were with hyperthermia, pain, inflammatory symptoms in analysis of urine, blood. By bacteriologica investigation of urine Escherichia coli, Enterococcus faecalis, Klebsiella were determined in all groups. All stones were R-positive. Retroperitoneoscopic method is more effective and safety in the treatment of patients with acute obstructive calculous pyelonephrit. The stone is removed completely, there are not residual fragments and risk of development bacteriotoxic shock, medical load and time of working disability are less than in comparative groups.