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改良近端会阴尿道造口术治疗山羊尿道狭窄技术

Modified proximal perineal urethrostomy technique for treatment of urethral stricture in goats.

作者信息

Tobias Karen M, van Amstel Sarel R

机构信息

Department of Small Animal Clinical Sciences, University of Tennessee College of Veterinary Medicine, Knoxville, Tennessee, USA.

出版信息

Vet Surg. 2013 May;42(4):455-62. doi: 10.1111/j.1532-950X.2013.01104.x. Epub 2013 Mar 1.

DOI:10.1111/j.1532-950X.2013.01104.x
PMID:23452276
Abstract

OBJECTIVE

To report a modified procedure for perineal urethrostomy (PU) in goats.

STUDY DESIGN

Case series.

ANIMALS

Adult castrated male pet goats (n = 11) that had recurrence of urinary tract obstruction after one or more surgical procedures for obstructive urolithiasis.

METHODS

Medical records (May 2008-February 2011) of goats that had a modified proximal PU were reviewed for history, signalment, and intraoperative and postoperative complications. Follow up was obtained through clinical examination or by telephone interview of owners or referring veterinarians.

RESULTS

Ten goats survived to discharge. Postoperative complications included hemorrhage (n = 7), misdirected urine stream (3), obstructive urolithiasis (2), and bladder atony, dysuria, dehiscence, or delayed healing (1 each). One goat died acutely 15 hours after surgery from peritonitis, pleuritis, hemorrhagic cystitis, and hepatic lipidosis, and 1 goat was euthanatized 14 months after surgery because of renal failure and persistent cystitis. Urethrostomy sites were patent and functional in 9 goats available for long-term follow-up (>12 months).

CONCLUSIONS

Transection of penile body attachments from the pelvis and careful mucocutaneous apposition may decrease the risk of postoperative urethral stricture formation in goats after PU. Hemorrhage is common after the procedure but does not affect clinical outcome.

摘要

目的

报告一种改良的山羊会阴尿道造口术(PU)手术方法。

研究设计

病例系列。

动物

成年去势雄性宠物山羊(n = 11),这些山羊在接受一次或多次梗阻性尿路结石手术治疗后出现尿路梗阻复发。

方法

回顾2008年5月至2011年2月期间接受改良近端PU手术的山羊的病历,记录病史、特征以及术中及术后并发症情况。通过临床检查或对羊主或转诊兽医进行电话访谈来进行随访。

结果

10只山羊存活至出院。术后并发症包括出血(n = 7)、尿流方向异常(3例)、梗阻性尿路结石(2例)以及膀胱无张力、排尿困难、伤口裂开或愈合延迟(各1例)。1只山羊在术后15小时因腹膜炎、胸膜炎、出血性膀胱炎和肝脂肪变性急性死亡,1只山羊在术后14个月因肾衰竭和持续性膀胱炎而实施安乐死。在可进行长期随访(>12个月)的9只山羊中,尿道造口部位通畅且功能良好。

结论

切断阴茎体与骨盆的附着并仔细进行黏膜皮肤对合,可能会降低山羊PU术后尿道狭窄形成的风险。该手术后出血常见,但不影响临床结局。

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