Development of functional complications of the kidneys in patients with purulent pyelonephritis
Abstract
Objective. Тo assess the functional state of the kidneys in patients operated on by various techniques for purulent pyelonephritis.
Material and methods. The clinical study included 89 patients with an established diagnosis of acute purulent pyelonephritis. All patients were hospitalized and treated in the urology department No2 of the Regional Clinical Hospital (Barnaul) from 2016 to 2024. The patients were divided into two groups depending on the method of treatment. The main group consists of 38 patients operated on using a hybrid organ-preserving technique. The study was approved by the local ethics committee of the BSMU of the Ministry of Health of Russia (protocol dated 04/20/2022). All patients underwent Doppler ultrasound and excretory urography. These studies were performed 12 and 60 months after surgery.
Results. The data of the functional state of the kidneys in patients obtained during the follow-up period (from one to five years) made it possible to reveal that more pronounced functional disorders associated with the development of nephroangiosclerosis were observed after open surgical interventions, in contrast to minimally invasive ones.
Conclusion. The study of the results obtained allows us to conclude that minimally invasive surgical methods in the treatment of patients with purulent pyelonephritis contributes to a significant reduction in the risk of complications in the form of nephroangiosclerosis.
About the Authors
V. A. Anan'ev
КГБУЗ «Краевая клиническая больница»
Russian Federation
Russian Federation
V. N. Pavlov
ФГБОУ ВО «Башкирский государственный медицинский университет» Минздрава России
Russian Federation
Russian Federation
A. M. Pushkarev
ФГБОУ ВО «Башкирский государственный медицинский университет» Минздрава России; ГБУЗ «Республиканская клиническая больница им. Г.Г. Куватова»
Russian Federation
Russian Federation
Yu. V. Olefir
ФГАОУ ВО «Первый Московский государственный медицинский университет имени И.М. Сеченова» (Сеченовский университет) Минздрава России
Russian Federation
Russian Federation
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Review
For citations:
Anan'ev V.A., Pavlov V.N., Pushkarev A.M., Olefir Yu.V. Development of functional complications of the kidneys in patients with purulent pyelonephritis. Bashkortostan Medical Journal. 2025;20(1):15-19. (In Russ.)
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