Possibilities of prediction of development of hemorrhagic complications in patients with the urolithiasis in the postoperative period

Increase in abundance incidence of an urolithiasis led to the fact that patients with this pathology make 30-40% of patients with urological pathology. Still remains the main method of treatment quick, and the most terrible complication in the postoperative period is bleeding.Research objective was to develop a way of the forecast of development of hemorrhagic postoperative complications in patients with an urolithiasis. Materials and methods: The basis of development of the offered way was formed by results of a research of 574 patients operated concerning an urolithiasis, who were on treatment in JSC DorozhnayaKlinicheskayaBolnitsa at the station Krasnoyarsk during the period from 2015 to 2017.Results: The risk of development of hemorrhagic complications at an urolithiasis increases in the postoperative period in the presence of large stones with high density and also decrease in quantity of thrombocytes and to lengthening of AChTV, PV and TV and emergence of a hematuria. The original way was approved in clinical practice: accuracy was 96.5%, sensitivity 92.3%, specificity 97.1%, a prognostic significance positive result 91.2%, a prognostic significance of the negative result 94.8%.Conclusion: Prediction of hemorrhagic complications at patients with an urolithiasis will allow to define treatment tactics in the preoperative period.