INFECTIOUS AND INFLAMMATORY RENAL DISEASES IN PREGNANT WOMEN: DIAGNOSIS AND TREATMENT
- Authors: KRAVCHENKO E.N1, GORDEYEVA I.A2, KUBAREV D.V2
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Affiliations:
- Omsk State Medical Academy, Ministry of Health of Russia
- Omsk Regional Emergency Medical Care Hospital One
- Issue: No 4 (2013)
- Pages: 29-32
- Section: Articles
- URL: https://journals.eco-vector.com/0300-9092/article/view/246923
- ID: 246923
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Abstract
Objective. To evaluate the efficiency of diagnosis of acute pyelonephritis in pregnant women, the possibility of differential diagnosis of its serous and purulent forms, and the effectiveness of their treatment. Subjects and methods. Cases of acute pyelonephritis were analyzed in 150 pregnant women over the past 5 years. Results. The authors specified risk factors for pyelonephritis and analyzed operations performed in case of ineffective medical therapy and pyodestructive inflammation: nephrectomy in 10.7% of the patients; renal carbunclectomy in 24.7%, and ureteral stenting to recover impaired urine passage in 39.5%. Conclusion. It is important to timely diagnose and treat asymptomatic bacteriuria for the prevention of complications and, in case of acute pyelonephritis, to timely perform surgical treatment for its pyodestructive forms.
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About the authors
E. N KRAVCHENKO
Omsk State Medical Academy, Ministry of Health of Russia
Email: kravchenko.en@mail.ru
I. A GORDEYEVA
Omsk Regional Emergency Medical Care Hospital One
Email: i.gordeeva@minzdrav.omskportal.ru
D. V KUBAREV
Omsk Regional Emergency Medical Care Hospital One
Email: maxd-80@mail.ru
References
- Аляев Ю.Г., Газимиев М.А., Еникеев Д.В. Современные аспекты диагностики и лечения гестационного пиелонефрита. Урология. 2008;1: 3-6.
- Козак Ю.В., Пекарев О.Г., Вишнякова С.В. Пути коррекции эндотоксикоза у беременных с острыми пиелонефритами. Медицина и образование в Сибири. 2011; 4: 4-6.
- Keogan M.T., Hertzberg B.S., Kliewer M.A., DeLong D.M., Paulson E.K., Carroll B.A. Doppler sonography in the diagnosis of antepartum pyelonephritis: value of intrarenal resistive index measurements. J. Ultrasound Med. 1996;15(1):13-7.
- Довлатян А.А. Интенсивная терапия при осложненных формах гнойного пиелонефрита беременных. Урология. 2008; 2: 10-4.
- Морозов Д.В. Хирургическая тактика и лечение гнойнодеструктивных форм острого пиелонефрита беременных: Автореф. дис.. канд. мед. наук. М.; 2004. 24с.
- Федченков В.В. Применение низкоинтенсивной лазерной терапии в комплексном лечении острого пиелонефрита во второй половине беременности: Автореф. дис.. канд. мед. наук. М.; 2004. 24с.
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