Вид документа : Статья из журнала Шифр издания : Автор(ы) : Kolupayev S. M., Heletka O. O., Lisova M. A. Заглавие : Features of the application of combined expulsive therapy in the complex treatment of patients with ureteral stones Место публикации : Вісн. пробл. біол. і медицини. - Полтава, 2022. - № 3. - С. 209-212 (Шифр ВУ12/2022/3) MeSH-главная: УРЕТЕРОЛИТИАЗ -- URETEROLITHIASIS МОЧЕТОЧНИКОВ БОЛЕЗНИ -- URETERAL DISEASES ЭЛЕКТРОИМПУЛЬСНАЯ ТЕРАПИЯ -- ELECTRIC COUNTERSHOCK Аннотация: The work is dedicated to the study of the effectiveness of the combined use of translumbar electrical impulse stimulation (TEIS) in combination with tamsulosin, as an expulsive therapy after extracorporeal shock wave lithotripsy (ESWL) in patients with stones of the proximal ureter. Materials and methods. The study included 134 patients who were divided into 2 groups: in the control group, tamsulosin was used as expulsive therapy at a dose of 0.4 mg per day, in the patients of the study group, tamsulosin therapy was combined with TEIS of the pacemaker zone of the renal pelvis and pyeloureteral segment, using the M-Test electromyograph (DX-Systems, Ukraine) in stimulation mode. Treatment results were evaluated before each TEIS procedure by performing an ultrasound examination. In the absence of stone fragments, as well as signs of obstruction of the upper urinary tract, expulsive therapy was stopped. Repeated ESWL sessions were performed on the 7th and 14th day, if stone fragments larger than 5 mm were determined during the control ultrasound examination. The final evaluation of the treatment results was carried out on the 28th day by multispiral computed tomography without contrast. The “stone free” state was established in the absence of stones in the urinary tract. Results. The use of TEIS made it possible to reduce the duration of treatment by a total of 36.4%. The intensity of pain sensations during the expulsive therapy, as well as the «stone free» indicator on the 28th day of treatment in the studied groups did not differ significantly. Conclusions. The use of TEIS in combination with tamsulosin is an effective component of the complex therapy of ureterolithiasis, which allows to reduce the duration of the period of removal of stone fragments after extracorporeal shock wave lithotripsy. Доп.точки доступа: Heletka, O. O.; Lisova, M. A.