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尿道切开术联合临时膀胱造瘘术或在临时膀胱造瘘术后用于治疗雄性山羊梗阻性尿路结石。

Urethrotomy in combination with or after temporary tube cystostomy for treatment of obstructive urolithiasis in male goats.

作者信息

Jacobs Carrie C, Fecteau Marie-Eve

机构信息

Department of Large Animal Clinical Sciences, College of Veterinary Medicine, Michigan State University, East Lansing, Michigan.

Department of Clinical Studies, New Bolton Center, University of Pennsylvania, Kennett Square, Pennsylvania.

出版信息

Vet Surg. 2019 Apr;48(3):315-320. doi: 10.1111/vsu.13170. Epub 2019 Jan 28.

Abstract

OBJECTIVE

To report the clinical findings, outcome, and complications associated with urethrotomy performed in combination with or after temporary tube cystostomy for treatment of obstructive urolithiasis in male goats.

STUDY DESIGN

Retrospective case series.

SAMPLE POPULATION

Castrated male goats (n = 15).

METHODS

The medical records of male goats admitted for obstructive urolithiasis were reviewed. Goats that underwent aurethrotomy performed in combination with or after a temporary tube cystostomy were included in the study population. Follow-up information was obtained through hospital records and telephone communication.

RESULTS

Thirteen of 15 goats were discharged from the hospital a median of 13 days (range, 7-25) after urethrotomy. Complications related to the urinary system occurred in 5 goats and included recurrent obstruction, urination from open urethrotomy, uroabdomen and intra-abdominal adhesions after removal of the Foley catheter, and incisional infection. Five of 7 goats with long-term follow-up (2-24 months after surgery) were healthy, with normal urinary function. The remaining 2 goats returned to the hospital with signs of reobstruction that were attributed to uroliths at necropsy in 1 goat.

CONCLUSION

Goats treated with urethrotomy for persistent urethral obstruction after temporary tube cystostomy generally survived the procedure. Normal long-term urinary function was obtained in some goats, although recurrence was the most common complication.

CLINICAL SIGNIFICANCE

Urethrotomy is a surgical option for male goats with persistent urethral obstruction due to urethral calculi after temporary tube cystostomy.

摘要

目的

报告在雄性山羊中,与临时置管膀胱造瘘术联合进行或在其之后进行尿道切开术治疗梗阻性尿路结石的临床发现、结果及并发症。

研究设计

回顾性病例系列研究。

样本群体

去势雄性山羊(n = 15)。

方法

回顾因梗阻性尿路结石入院的雄性山羊的病历。研究群体包括接受了与临时置管膀胱造瘘术联合进行或在其之后进行尿道切开术的山羊。通过医院记录和电话沟通获取随访信息。

结果

15只山羊中有13只在尿道切开术后中位时间13天(范围7 - 25天)出院。5只山羊出现了与泌尿系统相关的并发症,包括复发性梗阻、尿道切开处漏尿、拔除Foley导尿管后出现尿腹和腹腔粘连以及切口感染。7只接受长期随访(术后2 - 24个月)的山羊中有5只健康,排尿功能正常。其余2只山羊因再次梗阻的症状返回医院,其中1只山羊尸检时发现梗阻原因是尿路结石。

结论

对于临时置管膀胱造瘘术后因持续性尿道梗阻而接受尿道切开术治疗的山羊,该手术通常能使它们存活下来。一些山羊获得了正常的长期排尿功能,尽管复发是最常见的并发症。

临床意义

尿道切开术是临时置管膀胱造瘘术后因尿道结石导致持续性尿道梗阻的雄性山羊的一种手术选择。

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