Transurethral contact ureteral lithotripsy in a gaseous (CO 2) medium


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The paper describes for the first time the method of contact ureteral lithotripsy in gaseous (CO 2) medium. It presents the results of a comparative study of urolithiasis patients treated with this treatment modality (study group, n=30) and with traditional contact ureteral lithotripsy in liquid medium (control group, n=30). The incidence of retrograde migration of calculus in the kidney in the study group was 0%, while it was 16.6% in the control group. Acute or exacerbation of chronic pyelonephritis was diagnosed in only 3 (10%) patients in the control group. The suggested method of contact ureteral lithotripsy is safe and provides several advantages over traditional contact ureteral lithotripsy in a fluid medium, such as: physiologic validity, absence of calculus hypermobility (increased mobility), improved visualization during surgery and high cost effectiveness.

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作者简介

P. Glybochko

Research Institute of Uronephrology and Human Reproductive Health of Sechenov First Moscow State Medical University

Ju. Aljaev

Research Institute of Uronephrology and Human Reproductive Health of Sechenov First Moscow State Medical University

L. Rapoport

Research Institute of Uronephrology and Human Reproductive Health of Sechenov First Moscow State Medical University

D. Carichenko

Research Institute of Uronephrology and Human Reproductive Health of Sechenov First Moscow State Medical University

E. Arzumanjan

Research Institute of Uronephrology and Human Reproductive Health of Sechenov First Moscow State Medical University

Email: xachulya@mail.ru

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