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Стриктура может развиться на любом участке мочеточника с одной или двух сторон [3](https://fnkc-fmba.ru/zabolevaniya/striktura-mochetochnika/). \n\n**Классификация**: \n- по происхождению — врождённые (развиваются при нарушении развития органа) и приобретённые (формируются как осложнение заболеваний или травм) [4](https://centr-hirurgii-spb.ru/diseases/striktura-mochetochnika/); \n- по локализации — односторонние и двусторонние [4](https://centr-hirurgii-spb.ru/diseases/striktura-mochetochnika/); \n- по количеству — одиночные и множественные сужения мочеточника [4](https://centr-hirurgii-spb.ru/diseases/striktura-mochetochnika/).\n\n\n\n## Причины\n**Врождённые стриктуры** возникают на фоне наследственных аномалий анатомии органа и окружающих тканей [4](https://centr-hirurgii-spb.ru/diseases/striktura-mochetochnika/). Например, перемычка (клапан) в просвете мочеточника, перегиб органа, утолщение стенки [4](https://centr-hirurgii-spb.ru/diseases/striktura-mochetochnika/). \n\n**Приобретённые стриктуры** могут быть вызваны: \n* повреждениями органа во время медицинских манипуляций (осмотр изнутри, введение инструментов для дробления камней) [4](https://centr-hirurgii-spb.ru/diseases/striktura-mochetochnika/); \n* хирургическими операциями на мочеточнике и их осложнениями [4](https://centr-hirurgii-spb.ru/diseases/striktura-mochetochnika/); \n* воспалительными заболеваниями мочеточников и окружающих тканей, в том числе специфическими поражениями (туберкулёз, гонорея) [4](https://centr-hirurgii-spb.ru/diseases/striktura-mochetochnika/); \n* мочекаменной болезнью, при которой стенка органа травмируется острыми гранями камней [4](https://centr-hirurgii-spb.ru/diseases/striktura-mochetochnika/).\n\n## Симптомы\n**Выраженность симптомов зависит от степени сужения** [3](https://fnkc-fmba.ru/zabolevaniya/striktura-mochetochnika/). Небольшие стриктуры могут не проявлять себя [3](https://fnkc-fmba.ru/zabolevaniya/striktura-mochetochnika/). Некоторые признаки: \n* тупые или острые боли в боку и животе [3](https://fnkc-fmba.ru/zabolevaniya/striktura-mochetochnika/); \n* мутная моча [3](https://fnkc-fmba.ru/zabolevaniya/striktura-mochetochnika/); \n* повышенная температура тела [3](https://fnkc-fmba.ru/zabolevaniya/striktura-mochetochnika/); \n* тошнота и рвота [3](https://fnkc-fmba.ru/zabolevaniya/striktura-mochetochnika/); \n* уменьшение количества выделяемой мочи [3](https://fnkc-fmba.ru/zabolevaniya/striktura-mochetochnika/). \n\nВ тяжёлых случаях поражения почек возникают отёки ног и лица, одышка, слабость, аммиачный запах изо рта [3](https://fnkc-fmba.ru/zabolevaniya/striktura-mochetochnika/).\n\n## Диагностика\n**Диагноз «стриктура мочеточника» ставит врач-уролог** [3](https://fnkc-fmba.ru/zabolevaniya/striktura-mochetochnika/). Для диагностики могут назначить: \n* УЗИ почек [1](https://clinica-urology.ru/zabolevaniya/striktura-mochetochnika.php)[6](https://www.KrasotaiMedicina.ru/diseases/zabolevanija_urology/ureteral-stricture); \n* экскреторную урографию — рентген с контрастом, позволяет определить сужение [8](https://alldoctors.moscow/articles/spravochnik-zabolevaniy/striktura-mochetochnika/); \n* КТ и МРТ — для детального изучения, особенно если есть подозрение на опухоль или внешнее сдавление [8](https://alldoctors.moscow/articles/spravochnik-zabolevaniy/striktura-mochetochnika/); \n* уретероскопию — эндоскопический осмотр изнутри мочеточника, врач видит участок сужения [8](https://alldoctors.moscow/articles/spravochnik-zabolevaniy/striktura-mochetochnika/).\n\n## Лечение\n**Единственный метод лечения** — **хирургическое вмешательство** [1](https://clinica-urology.ru/zabolevaniya/striktura-mochetochnika.php)[4](https://centr-hirurgii-spb.ru/diseases/striktura-mochetochnika/). Устранить сужение с помощью медикаментов невозможно [1](https://clinica-urology.ru/zabolevaniya/striktura-mochetochnika.php). Выбор конкретной методики зависит от локализации сужения, его степени, протяжённости, а также причины возникновения [4](https://centr-hirurgii-spb.ru/diseases/striktura-mochetochnika/). \n\n**Некоторые варианты операций**: \n* **Уретеролизис** — удаление фиброзной ткани, которая деформирует или сдавливает мочеточник извне [1](https://clinica-urology.ru/zabolevaniya/striktura-mochetochnika.php). \n* **Бужирование** — расширение суженного участка с помощью бужей — специальных металлических инструментов [1](https://clinica-urology.ru/zabolevaniya/striktura-mochetochnika.php). \n* **Баллонная дилатация** — суженный участок надувают с помощью баллона, который изначально вводят в орган в уменьшенных размерах [1](https://clinica-urology.ru/zabolevaniya/striktura-mochetochnika.php). \n* **Кишечная пластика** — замещение части мочеточника тканями кишечной стенки — при множественных и сильных сужениях [1](https://clinica-urology.ru/zabolevaniya/striktura-mochetochnika.php). \n\n**Прогноз зависит от сроков выявления**: чем раньше обнаружена стриктура, тем проще лечение и выше шанс полного восстановления [8](https://alldoctors.moscow/articles/spravochnik-zabolevaniy/striktura-mochetochnika/). 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