INFORMATION SYSTEM FOR ANALYTICAL SUPPORTOF THE PRIMARY CHOICE OF THE DRAINING METHODOF THE UPPER URINARY TRACTS

The article presents the data from an original study to improve urological treatment of upper urinary tract obstruction in patients with urolithiasis, urological and gynecological oncological diseases. For this purpose, a comparative analysis of three alternative methods for drainage of the upper urinary tract was performed: internal stenting of the ureter, catheterization of the ureter, percutaneous puncture nephrostomy. The most informative signs responsible for the advantage of each of these methods in a specific clinical situation were statistically evaluated. On the basis of the confirmed logical and statistical relationships of informative signs and variants of clinical cases of obstruction, a system of information and analytical support has been developed, which facilitates the procedure for the primary selection of the drainage method in a specific clinical situation and ergonomizes the selection process itself. The results obtained have a high level of statistical significance, which allows them to be recommended for consideration for further use in the practice of urology and healthcare organization.