RETROSPECTIVE RESEARCH OF INFECTIOUS COMPLICATIONS AT PATIENTS WITH THE UROLITHIASIS IN THE POSTOPERATIVE PERIOD

Patients urolithic a disease make 30-40% of patients with urological pathology. At an urolithiasis the violations of an urodynamics contributing to the development of a secondary infection develop. Bacteriuria in the postoperative period it is observed at an overwhelming majority of the patients oper- ated concerning an urolithiasis, also frequent complication is development of pyelonephritis, and in 1-2% of cases at patients such terrible complication as an urosepsis and septic shock is observed Research objective was to define features of integral hematological indexes, biochemical blood test, bulk analysis of urine depending on the revealed infec- tious complications. The materials and methods: The 1240 patients operated concerning an urolithiasis, which were on treatment in Railway Clinical Hospital at the station Krasnoyarsk during the period from 2015 to 2017. Assessment of the studied parameters was carried out at the time of identification of the heaviest postoperative infectious complication. The following inte- gral hematological indexes calculated the leukocytic index of intoxication by reference formulas according to Ostrovsky (LII), the jet answer of neutrophils (JAN), the index of a ratio of lymphocytes to blood sedimentation rate (IRLBSR), the index of a ratio of lymphocytes to granulocytes (ISLG).Results: Among postoperative complications of infectious character development of a bacteriuria of-7,42±0,74% prevails. This complication is not followed by intoxication and decrease in a reactivity of an organism. At serous pyelonephritis the subcompensated intoxication against the background of a normal nonspecific reactivity is noted. And the expressed changes in the analysis of urine. Development of purulent process is followed by increase of intoxication and decrease in a reactivity. Conclusion: The decrease in a reactivity of an organism revealed by routine methods against the background of intoxication at development of infectious complications of the postoperative period of a urolithic disease demonstrates the prospects of further studying of immunologic mechanisms of a pathogen- esis of development of this pathology and searching of risk factors for prediction and prophylaxis.

postoperative infectious complications, urolithiasis, infections of uric paths, pyelonephritis, urosepsis

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