DeGroot Whitney, Gibson Thomas W G, Reynolds Debbie, Murphy Kim A
Department of Clinical Studies, Ontario Veterinary College, University of Guelph, Guelph, Ontario (DeGroot, Gibson); Toronto Veterinary Emergency Hospital, Toronto, Ontario (Reynolds); Murphy Veterinary Surgery Services, Guelph Veterinary Specialty Hospital, Guelph, Ontario (Murphy).
Can Vet J. 2016 Sep;57(9):955-60.
Pelvic fractures are a common injury in cats, and both surgical and conservative management approaches have been described. One of the major complications of pelvic fractures managed conservatively is narrowing of the pelvic canal. Severe pelvic canal narrowing can result in constipation and subsequent megacolon. The purpose of this case series is to describe the long-term outcome for 3 cats with obstipation treated with internal hemipelvectomy because of megacolon secondary to pelvic canal narrowing after conservative management. All cats had a good functional outcome of the affected limb. Two cats required ongoing medical management for recurrent constipation. Overall, internal hemipelvectomy offers good long-term limb function; however, its success in relieving clinical signs of constipation requires additional research.
骨盆骨折是猫常见的损伤,手术和保守治疗方法均有描述。保守治疗骨盆骨折的主要并发症之一是骨盆管狭窄。严重的骨盆管狭窄可导致便秘及随后的巨结肠。本病例系列的目的是描述3只因保守治疗后骨盆管狭窄继发巨结肠而接受内半骨盆切除术治疗便秘的猫的长期预后。所有猫患肢功能预后良好。2只猫因复发性便秘需要持续的药物治疗。总体而言,内半骨盆切除术可提供良好的长期肢体功能;然而,其在缓解便秘临床症状方面的成功还需要进一步研究。