McLoughlin Mary A
Department of Veterinary Clinical Sciences, The Ohio State University, 601 Vernon L. Tharp Street, Columbus, OH 43210, USA.
Vet Clin North Am Small Anim Pract. 2011 Sep;41(5):889-913, v. doi: 10.1016/j.cvsm.2011.07.001.
Surgical procedures of the lower urinary tract are commonly performed in small animal practice. Cystotomy for removal of uroliths and urethrostomy diverting urine outflow due to urethral obstruction are the most commonly performed surgical procedures of the bladder and urethra respectively. Surgical procedures of the lower urinary tract are typically associated with few complications, including leakage of urine, loss of luminal diameter (stricture or stenosis), urine outflow obstruction, tissue devitalization, denervation, urinary incontinence, urinary tract infection, and death. Complications can result from inappropriate or inadequate diagnosis, localization, and surgical planning; failure to respect regional anatomy, and other causes.
下尿路手术在小动物临床实践中较为常见。膀胱切开取石术用于取出尿路结石,而尿道造口术则用于因尿道梗阻而改道尿液流出,它们分别是膀胱和尿道最常进行的手术。下尿路手术通常并发症较少,包括尿液渗漏、管腔直径减小(狭窄)、尿液流出梗阻、组织坏死、去神经支配、尿失禁、尿路感染和死亡。并发症可能源于诊断、定位和手术规划不当或不充分;不尊重局部解剖结构以及其他原因。