Abuja Gustavo A, García-López José M, Doran Richard, Kirker-Head Carl A
Department of Clinical Sciences, Tufts University Cummings School of Veterinary Medicine, North Grafton, MA 01536, USA.
Vet Surg. 2010 Jul;39(5):654-9. doi: 10.1111/j.1532-950X.2010.00689.x. Epub 2010 Apr 29.
To report outcome of horses after standing pararectal cystotomy for removal of uroliths.
Case series.
Horses (n=9) with cystic calculi.
Medical records (December 1998-May 2007) of horses with cystic calculi that had standing pararectal cystotomy were reviewed. Signalment; urolith number, size, and type; surgical technique; sedation and analgesia protocols; intra- and postoperative complications and outcome were analyzed.
Uroliths (mean diameter, 6.37 cm; median, 6 cm; range, 3-10 cm) were removed intact without need for fragmentation. Eight (89%) horses had no complications and 1 horse (11%) developed persistent drainage from the perineal incision and incisional healing was prolonged. The complications resolved after wound revision, and although cystoscopy showed absence of uroliths, the clinical signs associated with cystitis recurred.
Cystic calculi can be removed safely in standing horses using a pararectal approach. The procedure was well tolerated and no serious complications were encountered.
Pararectal cystotomy allows removal of cystic calculi in standing sedated horses. The technique may offer an economic advantage over approaches that require general anesthesia.
报告马站立位直肠旁膀胱切开术取出尿路结石后的结果。
病例系列。
患有膀胱结石的马（n = 9）。
回顾1998年12月至2007年5月期间接受站立位直肠旁膀胱切开术的患有膀胱结石的马的病历。分析了动物信息、尿路结石的数量、大小和类型、手术技术、镇静和镇痛方案、术中和术后并发症及结果。
完整取出尿路结石（平均直径6.37 cm；中位数6 cm；范围3 - 10 cm），无需碎石。8匹马（89%）无并发症，1匹马（11%）会阴部切口持续引流，切口愈合延长。伤口修整后并发症得以解决，尽管膀胱镜检查显示无尿路结石，但与膀胱炎相关的临床症状复发。
采用直肠旁入路可在站立位的马中安全取出膀胱结石。该手术耐受性良好，未出现严重并发症。
直肠旁膀胱切开术可在站立镇静的马中取出膀胱结石。该技术可能比需要全身麻醉的方法具有经济优势。
