Voss E D, Taylor D S, Slovis N M
Arizona Equine Medical and Surgical Centre, Gilbert 85296, USA.
J Am Vet Med Assoc. 1999 May 15;214(10):1523-6, 1496.
A 4-year-old primiparous Thoroughbred mare was referred for treatment of uroperitoneum subsequent to dystocia. Hematologic and serum biochemical analyses revealed values consistent with those reported for foals with uroperitoneum. Exploratory celiotomy revealed the source of the uroperitoneum to be a rent in the right ureter proximal to the trigone of the bladder. Substantial accumulation of urine in the tissues surrounding the ureter prevented accurate identification and repair of the defect, so a temporary indwelling ureteral stent catheter was inserted. Three weeks later, the stent catheter was removed, and the mare made a complete recovery with restoration of continuity of the urinary tract and preservation of function of the affected kidney. Use of this procedure offers a practical alternative to unilateral nephrectomy or ureteronephrectomy for traumatic ureteral injuries of horses.
一匹4岁初产纯种母马因难产后继发尿腹症而前来接受治疗。血液学和血清生化分析结果与报道的患尿腹症马驹的结果一致。剖腹探查术发现尿腹症的源头是膀胱三角区近端右侧输尿管的一处撕裂。输尿管周围组织中大量尿液积聚,妨碍了对缺损的准确识别和修复,因此插入了一根临时留置输尿管支架导管。三周后,取出支架导管,母马完全康复,尿路连续性恢复,患侧肾脏功能得以保留。对于马的创伤性输尿管损伤,采用该手术提供了一种替代单侧肾切除术或输尿管肾切除术的实用方法。