两只狗和五只猫输尿管结石的自发性逆行移动
Spontaneous retrograde movement of ureteroliths in two dogs and five cats.
作者信息
Dalby Anne M, Adams Larry G, Salisbury S Kathleen, Blevins William E
机构信息
Department of Veterinary Clinical Sciences, School of Veterinary Medicine, Purdue University, West Lafayette, IN 47907-2026, USA.
出版信息
J Am Vet Med Assoc. 2006 Oct 1;229(7):1118-21. doi: 10.2460/javma.229.7.1118.
CASE DESCRIPTION
2 dogs and 5 cats were evaluated for treatment of ureteroliths.
CLINICAL FINDINGS
Spontaneous retrograde movement of 1 or more ureteroliths was detected by radiography, ultrasonography, fluoroscopy, and a combination of fluoroscopy and ultrasonography. The ureteroliths moved retrograde up to 4 centimeters. Retrograde movement of ureteroliths into the renal pelvis resulted in improved renal function in some patients but made complete surgical removal of all uroliths more difficult.
TREATMENT AND OUTCOME
Medical management was not successful, and ureteroliths were surgically removed. Surgical management of ureteroliths was complicated by retrograde movement of ureteroliths in the perioperative period.
CLINICAL RELEVANCE
Ureteroliths can move retrograde within the ureter and even back into the renal pelvis. Retrograde movement of ureteroliths may make surgical planning more difficult.
病例描述
对2只狗和5只猫进行了输尿管结石治疗评估。
临床发现
通过X线摄影、超声检查、荧光镜检查以及荧光镜检查与超声检查相结合的方法，检测到1个或多个输尿管结石出现自发性逆行移动。输尿管结石逆行移动达4厘米。输尿管结石逆行移入肾盂使部分患者的肾功能得到改善，但却增加了完全手术清除所有尿路结石的难度。
治疗与结果
药物治疗未成功，遂通过手术摘除输尿管结石。输尿管结石在围手术期的逆行移动使输尿管结石的手术治疗变得复杂。
临床意义
输尿管结石可在输尿管内逆行移动，甚至回到肾盂。输尿管结石的逆行移动可能会使手术规划更加困难。
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