Janke Jared J, Osterstock Jason B, Washburn Kevin E, Bissett Wesley T, Roussel Allen J, Hooper R Neil
Department of Large Animal Clinical Sciences, College of Veterinary Medicine and Biomedical Sciences, Texas A&M University, College Station, TX 77843, USA.
J Am Vet Med Assoc. 2009 Jan 15;234(2):249-52. doi: 10.2460/javma.234.2.249.
To determine results of ultrasound-guided cystocentesis and percutaneous infusion of Walpole's solution for treatment of male goats with urolithiasis.
Retrospective case series.
25 male goats with urolithiasis treated with Walpole's solution.
Information obtained from the medical records included signalment, degree of urethral obstruction (partial vs complete), pertinent examination findings, concurrent illnesses, diet, other treatments administered, duration of hospitalization, whether the obstruction resolved, and outcome (ie, discharged vs euthanized).
14 (58%) animals had complete urethral obstruction, and 10 (42%) had partial obstruction (degree of urethral patency was not recorded in 1 animal). Walpole's solution was infused once in 18 (72%) animals, twice in 6 (24%) animals, and 3 times in 1 (4%) animal. The amount of Walpole's solution required to achieve the target urine pH of 4 to 5 ranged from 50 to 250 mL. In 20 (80%) goats, the urethral obstruction resolved, and the goat was discharged. The remaining 5 (20%) goats were euthanized because of unresolved urethral obstruction. Six of the 20 (30%) goats that were discharged were reexamined because of recurrence of urethral obstruction.
Results suggested that ultrasound-guided cystocentesis in combination with percutaneous infusion of Walpole's solution may be a useful treatment in male goats with obstructive urolithiasis.
确定超声引导下膀胱穿刺术及经皮注入沃波尔溶液治疗雄性山羊尿石症的效果。
回顾性病例系列研究。
25只接受沃波尔溶液治疗的雄性尿石症山羊。
从病历中获取的信息包括特征、尿道梗阻程度（部分性与完全性）、相关检查结果、并发疾病、饮食、给予的其他治疗、住院时间、梗阻是否解除以及结局（即出院或安乐死）。
14只（58%）动物存在完全性尿道梗阻，10只（42%）存在部分性梗阻（1只动物未记录尿道通畅程度）。18只（72%）动物注入一次沃波尔溶液，6只（24%）动物注入两次，1只（4%）动物注入三次。使尿液pH值达到4至5的目标所需的沃波尔溶液量为50至250毫升。20只（80%）山羊的尿道梗阻解除并出院。其余5只（20%）山羊因尿道梗阻未解除而安乐死。出院的20只山羊中有6只（30%）因尿道梗阻复发接受复查。
结果表明，超声引导下膀胱穿刺术联合经皮注入沃波尔溶液可能是治疗雄性山羊梗阻性尿石症的一种有效方法。
