Preview

Ural Medical Journal

Advanced search

Markers of kidney damage in the diagnosis of infectious-inflammatory in patients with urolithiasis after contact ureterolithotripsy

https://doi.org/10.25694/URMJ.2018.09.22

Abstract

Currently one of the main methods of treatment of patients with ureteral stones is contact ureterolithotripsy (CULT). Despite the high effectiveness of the method, the problem of early detection and prevention of exacerbation of inflammatory complications of nephrolithiasis remains urgent. To improve the diagnosis of pyelonephritis after CULT in patients with urolithiasis, a study of the diagnostic efficacy of neutrophil gelatinase-associated lipocalin (NGAL), cystatin C, ß2-microglobulin, and interleukin-18 was performed in 123 patients with ureteral stones. The greatest value in preoperative diagnostics of pyelonephritis was demonstrated for serum NGAL of blood, urine NGAL, and urine ß2-microglobulin. The most significant increase during early term (2 hours) after CULT was observed for urine ß2-microglobulin and IL-18. The concentration of urine NGAL among all the studied markers remained elevated for a relatively longer period.

About the Authors

A. I. Tarasenko
Башкирский государственный медицинский университет
Russian Federation


I. R. Kabirov
Башкирский государственный медицинский университет
Russian Federation


A. V. Alekseev
Башкирский государственный медицинский университет
Russian Federation


References

1. W.Y. Khoder, M. Bader, R. Sroka [et al.]. Efficacy and safety of Ho:YAG laser lithotripsy for ureteroscopic removal of proximal and distal ureteral calculi. BMC Urology. - 2014. - Vol. 14. - P. 62.

2. EAU Guidelines. Edn. presented at the EAU Annual Congress London 2018.

3. AUA Guidelines. Surgical management of stones. 2016

4. I.S. Kardakos, D.I. Volanis, A. Kalikaki [et al.]. Evaluation of neutrophil gelatinase-associated lipocalin, interleukin-18, and cystatin C as molecular markers before and after unilateral shock wave lithotripsy. Urology. - 2014. - Vol. 84, № 4. - P. 783-8.

5. В.Н. Павлов, А.М. Пушкарев, И.Г. Ракипов и др. Биомаркеры повреждения почек при контактной уретеролитотрипсии. Медицинский вестник Башкортостана.-2015.-Т.10.-№3.-С.108-111.

6. Sharifiaghdas, F. Evaluating percutaneous nephrolithotomy-induced kidney damage by measuring urinary concentrations of beta2-microglobulin. Urol. J. - 2011. - Vol. 8, № 4. - P. 277-82.

7. А.Н. Россоловский, П.В. Глыбочко, В.М. Попков и др. Дифференцированный подход к оценке почечного повреждения у больных мочекаменной болезнью с помощью неинвазивных маркеров. Саратовский научно-медицинский журнал. - 2010. - Т. 6, № 3. - С. 708-715.


Review

For citations:


Tarasenko AI, Kabirov IR, Alekseev AV. Markers of kidney damage in the diagnosis of infectious-inflammatory in patients with urolithiasis after contact ureterolithotripsy. Ural Medical Journal. 2018;(9):56-60. (In Russ.) https://doi.org/10.25694/URMJ.2018.09.22

Views: 103


ISSN 2071-5943 (Print)
ISSN 2949-4389 (Online)