STUDY OF THE URINARY SYSTEM FUNCTIONAL CAPABILITIES USING EXCRETORY UROGRAPHY IN PATIENTS WITH SPINE-AND-SPINAL CORD INJURIES
The aim of the work was to study the functional capabilities of the urinary system using excretory urography in patients with spine-and-spinal cord injuries. The study of the urinary system condition has been performed in 48 patients with spine-and-spinal cord injuries of the cervical, thoracic, thoracolumbar spine at different stages of traumatic spinal cord disease development (in acute, early, intermediate and late periods). Excretory urography was the main method of studying. The decrease of renal accumulative and excretory function has been revealed in patients with spine-and-spinal cord injuries in the cervical, thoracic and thoracolumbar spine, as well as negative structural changes in the urinary system organs, contributing to developing inflammatory changes (dilation and deformation of the renal calyces and pelvis system, presence of concrements, changes in the urinary bladder shape) and being of greater manifestation degree in patients with spine-and spinal cord injuries in the intermediate and late periods. In case of spine-and-spinal cord injury the compensatory episodes of the urinary system appear due to disordering the nerve regulation of the urinary system organs, hypodynamia. The renal function is preserved, however, the decrease of functional capabilities, that of urine accumulation and excretion is observed. These episodes contribute to stagnation events, urinary calculi formation, purulent-and-septic complications in the urinary organs.