Обзор осложнений перкутанной нефролитотомии и методов их лечения


DOI: https://dx.doi.org/10.18565/urology.2018.4.147-153

В.А. Малхасян, И.В. Семенякин, В.Ю. Иванов, С.О. Сухих, Н.К. Гаджиев

1 Городская клиническая больница им. С. И. Спасокукоцкого, Москва, Россия; 2 Первый Санкт-Петербургский государственный медицинский университет им. академика И. П. Павлова, Санкт-Петербург, Россия
На сегодняшний день перкутанная нефролитотомия (ПНЛ) является стандартом лечения пациентов с мочекаменной болезнью (МКБ), в частности крупных и коралловидных камней почек. Несмотря на малую инвазивность, этот метод не лишен осложнений. В настоящем обзоре представлены наиболее часто встречающиеся осложнения, а также предложены методы их предотвращения и соответствующего лечения. Категоризация осложнений для возможности унифицированного их изучения представлена в соответствии с классификацией Clavien в модификации. Согласно имеющимся данным, около 80% осложнений после ПНЛ соответствуют категориям I–II и не требуют какого-либо дополнительного лечения. К наиболее грозным осложнениям относятся сепсис, кровотечение и повреждение близлежащих органов.

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Об авторах / Для корреспонденции


А в т о р д л я с в я з и: В. А. Малхасян – к.м.н., врач-уролог ГКБ им. С. И. Спасокукоцкого, Москва, Россия; e-mail: vigenmalkhasyan@gmail.com


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