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经腹膀胱镜检查和尿道镜检查对9只犬尿道结石的取出术

Extraction of urethral calculi by transabdominal cystoscopy and urethroscopy in nine dogs.

作者信息

Libermann S V, Doran I C, Bille C R, Bomassi E G, Rattez E P

机构信息

Centre Hospitalier Vétérinaire des Cordeliers, 29, avenue Joffre, 77100 Meaux, France.

出版信息

J Small Anim Pract. 2011 Apr;52(4):190-4. doi: 10.1111/j.1748-5827.2011.01045.x.

Abstract

OBJECTIVES

To describe a minimally invasive technique for treating urethral obstructions in male dogs and to review the postoperative results.

METHODS

All dogs (n=9) had urethral obstruction due to calculi. Obstructions were verified by radiographic and ultrasonographic examinations. Dogs with impaired kidney function were not included in the study. A 5-mm diameter trocar and cannula were placed in the ventral midline, 2 cm cranial to the umbilicus, allowing placement of a 10-mm diameter cannula under visual guidance, adjacent to the apex of the bladder. The bladder was then partially exteriorised and sutured to the skin. A 5-mm diameter cystoscopy sheath was introduced into the bladder lumen and advanced into the urethra. Continuous retrograde flushing was used to dislodge the calculi from the site of obstruction and collect them upstream.

RESULTS

The nine dogs were followed up for a minimum of 6 months. No major postoperative complications were identified. One dog exhibited transient macroscopic haematuria (for 3 weeks postoperatively). All urethral calculi were removed in the nine dogs. No recurrence was found during the follow-up period.

CLINICAL SIGNIFICANCE

A minimally invasive approach is used to treat urethral obstructions resulting from calculi in the male dogs.

摘要

目的

描述一种治疗雄性犬尿道梗阻的微创技术,并回顾术后结果。

方法

所有犬(n = 9)均因结石导致尿道梗阻。通过放射学和超声检查证实梗阻。肾功能受损的犬不纳入本研究。将直径5 mm的套管针和套管置于脐部头侧2 cm的腹中线处,以便在直视引导下在膀胱顶端旁放置直径10 mm的套管。然后将膀胱部分牵出并缝合至皮肤。将直径5 mm的膀胱镜鞘插入膀胱腔并推进至尿道。采用持续逆行冲洗将结石从梗阻部位冲出并在其上游收集。

结果

9只犬至少随访6个月。未发现重大术后并发症。1只犬出现短暂肉眼血尿(术后3周)。9只犬的所有尿道结石均被清除。随访期间未发现复发。

临床意义

采用微创方法治疗雄性犬由结石引起的尿道梗阻。

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