Results of the traditional management of the patients having ureteric concrements under the ambulatory conditions

Abstract

The work presents the results of management of 69 patients having ureterolithiasis who were treated under the conditions of polyclinics by the generally accepted scheme. The base of the study was the medical institutions of the Khmelnytska oblast. The men constituted 66.7% and women – 33.8%. In 23.2 ± 5.05 % of patients the stone localized in the upper part of ureter, in 31.8 ± 5.6% – in lower and in the reliable majority (45.0 ± 5.9%) – in the middle. Chronic pyelonephritis was found in 33 patients (47.8%). 39 out of 69 patients (56.5%) showed «self released» concrement, in 9 (13%) – its migration was not followed by complications with subsequent monitoring. Considerable per centage of unsatisfactory results attracts the attention – in 30.4 ± 5.5% of cases (21 pts) on the 5.6 ± 1.3 day since the start of treatment acute pyelonephritis developed which became the cause for hospitalization. The clinical effect depended on the size, localization of a concrement, presence or absence of chronic pyelonephritis, terms when treatment began. The received results con firm the wide potential of the medicamental therapy in treatment of patients having ureterolithiasis in a policlinic in case of a proper selection of a contin gent and, along with this, it is substantiated the motivation of necessity to per fect the standard scheme with the aim to improve the final results the reality of which is secured by the modern success in pharmaco and physiotherapy.