等离子柱状电极对经皮肾镜术中肾实质出血点止血效果的随机对照研究-外科学(泌尿外科学)专业论文.docx

Abstract Abstract IV IV ABSTRACT Objective: To perform a perspective randomized controlled study to assess the coagulating efficacy and safety of cauterization of access tract hemorrhagic spots in percutaneous nephrolithotomy with Pluse Cylindrical electrode. Methods: There was not any patient need transarterial embolization to control the hemorrhage. A total of 60 percutaneous nephrolithotomies, which can discover hemorrhagic spots in the access tract, were performed at the department of Urology in Jiangxi Provincial People’s Hospital from July 2013 to December 2014. The patients were divided randomly into the experimental group and the controlled group. In the experimental group(n=30), cauterization of access tract hemorrhagic spots with Pluse Cylindrical electrode was performed. But in the controlled group(n=30), no procession was performed. The drainage fluid for 24 hours from the nephrostomy tube and the catheter was collected continually in three following days after the operation and another 24 hours after remove the nephrostomy tube. And the total amount of hemoglobin in the drainage fluid was evaluated with the method of Cyanide Methemoglobin. The T test method was used on two independent samples to analyze the differences of the amount of bleeding. Results： The average loss of hemoglobin in the experimental group(4.61±0.77g) was significantly lower in the controlled group(7.79±1.82g) during the first 24h of postoperation. And with significant statistical significance(P＜0.01). The average loss of hemoglobin in the experimental group(1.45±0.63g) was significantly lower in the controlled group(3.98±1.74g) from 24h to 48h of postoperation. And it was of statistical significance(P＜0.05). The average loss of hemoglobin in the experimental group(0.13±0.12g) was lower in the controlled group(0.23±0.47g) from 48h to 72h of postoperation. But without significant statistical significance(P＞0.05). The average PAGE PAGE VI loss of hemoglobin in