The Effects On The Hemorrhage By Percutaneous Nephrolithotripsy Postoperative Nephrostomy Tube Around With Absorbable Hemostatic Gauze

ObjectiveTo explore the effects on the hemorrhage by Percutaneous nephrolithotomy postoperative nephrostomy tube around with absorbable hemostatic gauze.MethodsWe collected 95 cases in accordance with the screening criteria,from March 2015 to October 2016,and randomly divided into two groups.Experience group: Percutaneous nephrolithotomy postoperative nephrostomy tube around with absorbable hemostatic gauze,46 cases.Control group: percutaneous nephrolithotomy postoperative nephrostomy tube around without absorbable hemostatic gauze,49 cases.Two groups of cases were successfully carried out under the guidance of B ultrasound guided percutaneous lithotripsy.Data collection: 1)We collected their hemoglobin concentration and hematocrit at the end of the operation.2)We collected their hemoglobin concentration and hematocrit when the nephrostomy tube was pulled out.3)Postoperative hospital stay.We compared the two groups of patients with postoperative bleeding volume if there was a statistically significant difference.ResultsTwo groups of cases were successfully carried out under the guidance of B ultrasound guided percutaneous lithotripsy,and there were no other serious complications except for bleeding.Experience group: age 40~60 years,mean(48.7±8.9)years,Control group: age 40~60 years,mean(50.2±10.3)years,there was no statistically significant difference between the two groups(P>0.05);Experience group: Stone diameter 2~3cm,mean(2.6±1.2)cm,Control group: Stone diameter 2~3cm,mean(2.5±1.4)cm,there was no significant difference between the two groups(P>0.05);Experience group: Separation of renal collection system 3~4cm,mean(3.4±2.3)cm,Control group: Separation of renal collection system 3~4cm,mean(3.6±1.9)cm,there was no statistically significant difference between the two groups(P>0.05);Experience group: operation time 30~40 minutes,mean(36±14.7)minutes,Control group: 30~40 minutes,mean(33±16.1)minutes,there was no statistically significant difference between the two groups(P>0.05);Experience group: the hemoglobin concentration and hematocrit at the end of the operation 92~146g/L,mean(125.3±16.8)g/L,35%~46%,mean(41±3.6)%,Control group: the hemoglobin concentration and hematocrit at the end of the operation 87~145g/L,mean(123.9±14.7)g/L,37%~45%,mean(39.3±4.5)%,there was no statistically significant difference between the two groups(P > 0.05);Experience group: the hemoglobin concentration and hematocrit when the nephrostomy tube was pulled out 89~138 g/L,mean(119.5±14.2)g/L,33%~43%,mean(37±5.7)%,Control group: the hemoglobin concentration and hematocrit when the nephrostomy tube was pulled out 83~131g/L,mean(112.9±18.7g)g/L,30%~42%,mean(35±9.1)%,there was a statistically significant difference between the two groups(P<0.05);Experience group: Postoperative hospital stay 5~7days,mean(5.6±2.3)days,Control group: Postoperative hospital stay 4~8days,mean(5.3±2.7)days,there was no statistically significant difference between the two groups(P>0.05).ConclusionThe nephrostomy tube with absorbable hemostatic gauze can reduce Percutaneous nephrolithotomy postoperative hemorrhage.