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使用柔韧性全环假体治疗气管塌陷:1例实验病例和4例临床病例的结果

Surgical treatment of tracheal collapse using pliable total ring prostheses: results in one experimental and 4 clinical cases.

作者信息

Ayres S A, Holmberg D L

机构信息

Department of Clinical Studies, Ontario Veterinary College, University of Guelph.

出版信息

Can Vet J. 1999 Nov;40(11):787-91.

PMID:10563237
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1540003/
Abstract

Pliable total ring prostheses were created from the polyvinyl chloride drip chambers of intravenous administration sets. The total ring prostheses were placed in one clinically normal research dog and in 4 client-owned dogs diagnosed with tracheal collapse. The research dog was euthanized one month after placement of the prostheses. Histopathological analysis of the trachea adjacent to the prostheses revealed a mild inflammatory response. The follow-up period for the clinical cases was from 4 months to 11 years. Radiographs taken and fluoroscopy performed 1 day to 5 months after surgery revealed improvement or resolution of the tracheal collapse. One dog was asymptomatic 28 weeks following surgery. Two dogs died 7 and 9 years after surgery, with one requiring intermittent medical management for coughing. They were euthanized for nonrespiratory illness. One dog had a persistent nonproductive cough, due to collapse of the mainstem bronchi, when last evaluated 4 months postoperatively. Pliable total ring prostheses provided adequate stability to the trachea and had the advantage of conforming to the trachea and being easy to create, place, and suture.

摘要

可弯曲的全环假体由静脉输液器的聚氯乙烯滴壶制成。将全环假体植入1只临床健康的实验犬和4只被诊断为气管塌陷的客户拥有的犬体内。实验犬在植入假体1个月后实施安乐死。对假体附近气管进行组织病理学分析,结果显示有轻度炎症反应。临床病例的随访期为4个月至11年。术后1天至5个月拍摄的X光片及进行的荧光透视检查显示气管塌陷有所改善或得到解决。1只犬在术后28周无症状。2只犬在术后7年和9年死亡,其中1只因咳嗽需要间歇性药物治疗,它们因非呼吸系统疾病实施安乐死。1只犬在术后4个月最后一次评估时,因主支气管塌陷持续干咳。可弯曲的全环假体为气管提供了足够的稳定性,具有与气管贴合以及易于制作、放置和缝合的优点。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ffd0/1540003/9e892a43e08b/canvetj00144-0038-b.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ffd0/1540003/a84703a82b31/canvetj00144-0038-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ffd0/1540003/9e892a43e08b/canvetj00144-0038-b.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ffd0/1540003/a84703a82b31/canvetj00144-0038-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ffd0/1540003/9e892a43e08b/canvetj00144-0038-b.jpg

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本文引用的文献

1
Surgical management of extrathoracic tracheal collapse in two large-breed dogs.两只大型犬胸外气管塌陷的手术治疗
J Am Vet Med Assoc. 1997 Dec 15;211(12):1545-8.
2
Surgical treatment of tracheal collapse in dogs: 90 cases (1983-1993).犬气管塌陷的外科治疗:90例(1983 - 1993年)
J Am Vet Med Assoc. 1996 Feb 1;208(3):380-4.
3
Clinical and pathologic effects of a modified technique for application of spiral prostheses to the cervical trachea of dogs.
Vet Surg. 1993 Jul-Aug;22(4):269-75. doi: 10.1111/j.1532-950x.1993.tb00396.x.
一种新型可自膨胀气管镍钛合金支架对犬气管塌陷的安全性和有效性
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Biofilm formation by Candida species on the surface of catheter materials in vitro.念珠菌属在体外导管材料表面形成生物膜。
Infect Immun. 1994 Mar;62(3):915-21. doi: 10.1128/iai.62.3.915-921.1994.
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Unilateral arytenoid lateralisation and extraluminal polypropylene ring prostheses for correction of tracheal collapse in the dog.单侧杓状软骨侧方移位及腔外聚丙烯环假体用于纠正犬气管塌陷
J Small Anim Pract. 1995 Apr;36(4):151-8. doi: 10.1111/j.1748-5827.1995.tb02866.x.
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Atrial cannulation for long-term sequential blood collection in gilts.小母猪长期序贯采血的心房插管法。
Am J Vet Res. 1987 Jun;48(6):990-1.
7
Clinical and pathologic effects of spiral and total ring prostheses applied to the cervical and thoracic portions of the trachea of dogs.螺旋形和全环式假体应用于犬气管颈段和胸段的临床及病理效应
Am J Vet Res. 1989 Dec;50(12):2168-75.
8
The effects of surgical isolation and application of polypropylene spiral prostheses on tracheal blood flow.手术隔离及应用聚丙烯螺旋假体对气管血流的影响。
Vet Surg. 1991 Jan-Feb;20(1):49-54. doi: 10.1111/j.1532-950x.1991.tb00305.x.
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Probl Vet Med. 1991 Jun;3(2):229-38.
10
Non-surgical cannulation of the vena cava for chronic blood collection in mature swine.用于成年猪慢性采血的腔静脉非手术插管法
Lab Anim Sci. 1991 Jun;41(3):274-8.