Scientific journal
Научное обозрение. Медицинские науки
ISSN 2500-0780
ПИ №ФС77-57452

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HANGES OF RENAL HEMOODYNAMICS IN PATIENTS WITH NEPHROLITHIASIS AFTER DISTANCE SHOCK-WAVE LITHOTRIPSY AND WAYS OF THEIR CORRECTION

Glybochko P.V. 1 Tarasenko A.I. 2 Svistunov A.A. 1 Tarasenko Yu.N. 3
1 First Moskov State Medical University n.a. I.M. Sechenova
2 Saratov State Medical University n.a. V.I. Razumovsky
3 GUZ”Saratov regional blood transfusion”
Complications arising during lithotripsy, are due to the damaging effects of shock-wave effects on renal hemodynamics, which dictates the need for new methods of pharmacological correction in patients with nephrolithiasis. Histopathological examination of human and animal kidney damage endothelial cells showed medium-sized arteries, veins and capillaries of the glomeruli after DUVLT. It was shown that thin-walled veins arcuatecorticomedullary compounds are particularly vulnerable to the impact of the shock, what has caused the appearance of hematuria after DUVLT Analysis of the effectiveness of the drug class angiotensin receptor type II A 1 –kardesartan– revealed that the use of the drug promotes the normalization of the blood flow velocities and resistance index pulse with duplex scanning at 5–7th postoperative day. The above facts may result in the reduction of intervals between sessions SWL in patients with nephrolithiasis.