Problems of Social Hygiene, Public Health and History of MedicineProblems of Social Hygiene, Public Health and History of Medicine0869-866X2412-2106Joint-Stock Company Chicot16510.32687/0869-866X-2019-27-si1-667-670Научная статьяMedical Rehabilitation after Hydronephrosis Surgical Treatment in ChildrenPogonchenkovaI. V.-KhanM. A.-NovikovaYe. V.minkamal@mail.ruMikitchenkoN. A.-Moscow Centre for Research and Practice in Medical Rehabilitation, Restorative and Sports Medicine151220192766767006042021Copyright © 2019,2019The article presents modern technologies of medical rehabilitation of children operated for hydronephrosis. The importance of medical rehabilitation of children with hydronephrosis is associated with high incidence, possibility of developing chronic kidney disease, and early disability of these patients.After surgery on the ureter it is important to use medical rehabilitation technologies aimed at preventing urodynamics disorders of upper and lower urinary tract, and at stimulation of regenerative processes. In recent years, particular attention has been paid to high-intensity pulsed electromagnetic field therapy, which has a more significant and long-term stimulating effect compared to various types of electrical stimulation.Clinical studies were conducted in 80 children operated for hydronephrosis, aged 3 to 15. The main group consisted of 40 children who received high-intensity pulsed magnetic therapy, and 40 children were included in the control group (without physiotherapy). Basic treatment included uroseptics and exercise therapy.Effectiveness of the method was assessed using clinical, laboratory and ultrasound data, and Doppler ultrasound of the renal blood flow. The results of the study demonstrated the rationale of including high-intensity pulsed electromagnetic field therapy in medical rehabilitation of children operated for hydronephrosisThe positive effect of high-intensity pulsed electromagnetic therapy on the urodynamics of the urinary tract (reduction in the size of renal pelvis and calyx) and renal blood flow (restoration of blood flow to the renal cortex) were revealed. This method helped to reduce inflammation in the renal parenchyma (reduction of proteinuria, leukocyturia) in children operated on for hydronephrosis.A significantly higher effectiveness of medical rehabilitation with the use of high-intensity pulsed magnetic therapy was proved (87.5%).hydronephrosismedical rehabilitationhigh-intensity pulsed electromagnetic therapyphysical therapyexercise therapychildrenгидронефрозмедицинская реабилитациявысокоинтенсивная импульсная магнитотерапиялечебная физкультурафизиотерапиямассаждети[Коварский С. Л., Меновщикова Л. Б. и др., ред. Обструктивные уропатии в детском возрасте. М.: ГЭОТАР-Медиа; 2011. 240 с.][Бекназаров Ж. Б., Агзамходжаев С. Т., Абдуллаев З. Б.; Результаты хирургической коррекции врожденного гидронефроза у детей раннего возраста. Российский вестник детской хирургии, анестезиологии и реаниматологии. 2018;(1):31-5.][Onen A. The natural history and therapeutic approach of antenatally diagnosed primary UPJ-type hydronephrosis. Turkish J. Pediatr. Surg. 2006;20:33-8.][Ruiz E., Soria R., Ormaechea E., Marcelo M., et al. Simplified open approach to surgical treatment of ureteropelvic junction obstruction in young children and infants. J. Urol. 2011;185:2512-6.][Хан М. А., Меновщикова Л. Б., Новикова Е. В. Медицинская реабилитация детей с обструктивной уропатией. Вестник восстановительной медицины. 2014;(4):92-4.][Карпухин И. В., Ли А. А., Гусев М. Е. Восстановительная терапия урологических и андрологических больных на курортах Европы. М.: Интел Принт; 2001. С. 6-35.][Пономаренко Г. Н., ред. Национальное руководство по физиотерапии. СПб.: Мир и семья; 2008. 628 c.][Пономаренко Г. Н., ред. Физическая и реабилитационная медицина: национальное руководство. М.: ГЭОТАР-Медиа; 2016.][Ушаков А. А. Практическая физиотерапия. М.; 2009. 605 c.][Хан М. А., ред. Физиотерапия в педиатрии. М.; 2014. 194 c.][Fergany L. A., Shaker H., Arafa M., Elbadry M. S. Does sacral pulsed electromagnetic field therapy have a better effect than transcutaneous electrical nerve stimulation in patients with neurogenic overactive bladder? Arab. J. Urol. 2017 Mar 29;15(2):148-52. doi: 10.1016/j.aju.2017.01.007][Vadalà M., Palmieri B., Malagoli A., Laurino C. High-power magnetotherapy: A new weapon in urinary incontinence? Low Urin. Tract Symptoms. 2017 Jun 18. doi: 10.1111/luts.12174]