Clinical analysis and countermeasure research of bleeding during percutaneous nephrolithotomy by endoscopy and holmium laser

VernacularTitle:经皮肾镜钬激光碎石术大出血临床分析及对策研究
Author: Zipeng HAO ; Xin LI ; Buzhen ZHANG ; Qigui LIU ; Yueli WANG
Publication Type:Journal Article
Keywords: percutaneous nephrolithotomy; massive haemorrhage; diabetes mellitus; countermeasure
From: Journal of Regional Anatomy and Operative Surgery 2015;(2):126-129
CountryChina
Language:Chinese
Abstract: Objective To provide guidance for clinical prevention and treatment of bleeding during percutaneous nephrolithotomy( PC-NL) . Methods The clinical data of 1 012 patients with intraoperative and postoperative bleeding during percutaneous nephrolithotomy in our urology department were collected,hemorrhoea occurred on 36 cases,the occurrence rate was 3. 56%. The incidence,correlation with cal-culi,diabetes mellitus,examination item,technical operation were analyzed and compared. Results The incidence was 5. 52% for patients with complicated calculi. The incidence of delayed massive haemorrhage has been increased postoperatively in the diabetes mellitus patients. This incidence was 1. 81% for patients with preoperative examination. Along with the extension of time in carrying out technology,PCNL asso-ciated bleeding incidence decreased year by year. Conclusion The occurrence of haemorrhage associated with PCNL could be decreased by correctly handling complicated calculi,preoperative examination,keeping blood glucose homeostasis and improving the manipulation ability of operator.