Brdecka David J, Rawlings Clarence A, Perry Amanda C, Anderson Jonathon R
Department of Small Animal Medicine, College of Veterinary Medicine, University of Georgia, Athens 30602, USA.
J Am Vet Med Assoc. 2008 Oct 15;233(8):1265-9. doi: 10.2460/javma.233.8.1265.
To evaluate efficacy and safety of using an electrothermal, feedback-controlled, bipolar sealing device (BSD) for resection of the elongated portion of the soft palate in brachycephalic dogs with upper airway obstruction.
Uncontrolled clinical trial.
24 brachycephalic dogs with airway obstruction and elongated soft palate.
In all dogs, the excess portion of the soft palate was resected with a BSD. A score for severity of clinical signs of respiratory tract obstruction was assigned before surgery, during the first 24 hours after surgery, and at the time of final follow-up 12 to 23 months after surgery. Potential scores ranged from 0 (no clinical signs even with moderate to vigorous activity) to 4 (agonal breathing or severe cyanosis).
None of the dogs died or developed life-threatening complications after surgery. Clinical scores after surgery (mean +/- SD, 0.3 +/- 0.6) and at the time of final follow-up (0.9 + 0.5) were significantly lower than preoperative scores (2.6 +/- 0.8).
Results indicated that a BSD can be safely used for resection of the elongated portion of the soft palate in brachycephalic dogs with upper airway obstruction.
评估使用一种电热反馈控制双极密封装置(BSD)切除患有上呼吸道梗阻的短头犬软腭延长部分的有效性和安全性。
非对照临床试验。
24只患有气道梗阻和软腭延长的短头犬。
对所有犬只,使用BSD切除软腭多余部分。在手术前、术后最初24小时以及术后12至23个月的最终随访时,对呼吸道梗阻临床症状的严重程度进行评分。潜在评分范围为0(即使在中度至剧烈活动时也无临床症状)至4(濒死呼吸或严重发绀)。
术后无犬只死亡或出现危及生命的并发症。术后(平均±标准差,0.3±0.6)和最终随访时(0.9±0.5)的临床评分显著低于术前评分(2.6±0.8)。
结果表明,BSD可安全用于切除患有上呼吸道梗阻的短头犬软腭延长部分。