vtioВестник трансплантологии и искусственных органовRussian Journal of Transplantology and Artificial Organs1995-1191Academician V.I.Shumakov National Medical Research Center of Transplantology and Artificial Organs", Ministry of Health of the Russian Federation10.15825/1995-1191-2020-1-35-39vtio-1141Research ArticleКлиническая трансплантологияClinical TransplantologyНеобходимость проведения микционной цистоуретрографии для оценки взрослых кандидатов на трансплантацию почкиThe necessity of voiding cystourethrogram for the evaluation of recipient candidates in adult renal transplantationСарьерМ.SarierM.

Стамбул, Турция

Mehmet Sarier.

Medical Park Hospital Department of Urology Muratpaşa, Antalya.

drsarier@gmail.comКаллиоглуМ.CalliogluM. 

Анталья

Antalya

ЮкселЮ.YukselYu.

Анталья

Antalya

Университет ИстиниТурцияIstinye UniversityTurkeyБольница Медикал ПаркТурцияMedical Park HospitalTurkey2020210420202213539Copyright © Сарьер М., Каллиоглу М., Юксел Ю., 20202020Сарьер М., Каллиоглу М., Юксел Ю.Sarier M., Callioglu M., Yuksel Y.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://journal.transpl.ru/vtio/article/view/1141

В то время как во всех международных протоколах при подготовке к трансплантации почки в педиатрической практике потенциальным реципиентам предписано обязательно проводить микционную цисто уретрографию (МЦУГ), нет никаких указаний относительно этого перед проведением трансплантации почки взрослым пациентам без урологических нарушений. Цель: оценить результативность МЦУГ, проведенной перед трансплантацией взрослым пациентам, и необходимость использования этого метода визуализации перед операцией. Материалы и методы. Было проведено ретроспективное исследова ние данных 1265 взрослых реципиентов почки, которым выполняли МЦУГ перед трансплантацией в нашем центре. С помощью МЦУГ оценивали наличие и степень пузырно-мочеточникового рефлюкса (ПМР), остаточный объем мочи после мочеиспускания (PVR) (>100 мл), емкость мочевого пузыря (низ кая емкость мочевого пузыря <100 мл) и патологию мочеиспускательного канала. Результаты. Средний возраст пациентов составил 42,3 ± 1,3 года. В среднем пациенты находились на диализе 27,8 ± 4,2 ме сяца. По результатам МЦУГ у 19,2% пациентов были обнаружены патологические изменения. С другой стороны, урологические нарушения были причиной терминальной почечной недостаточности (ТПН) всего в 5,1% случаев. По результатам МЦУГ были выявлены двусторонний ПМР тяжелой степени в нативных почках у 4,4% (n = 56) потенциальных реципиентов, односторонний ПМР тяжелой степени – у 4,1% (n = 52), двусторонний ПМР легкой степени – в 2,1% (n = 26), односторонний ПМР легкой степени тяжести – у 2,4% (n = 30) и рефлюкс в трансплантат почки при его отторжении – у 2,3% (n = 29). Кроме того, обнаружено значительное снижение емкости мочевого пузыря у 4,8% (n = 61), значительное сниже ние PVR – у 1,1% (n = 14) и стриктура уретры – у 0,5% (n = 6) потенциальных реципиентов. Заключение. Следует рассмотреть целесообразность включения в повседневную клиническую практику МЦУГ для оценки функционального состояния мочевыводящих путей взрослых потенциальных реципиентов перед трансплантацией почки, а также реципиентов-детей, даже если ТПН не обусловлена урологическими заболеваниями.

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The authors declare that there are no conflicts of interest present.