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纯种马会厌嵌顿的手术矫正及术后并发症:12例(2009 - 2015年)

Surgical corrections and postsurgical complications of epiglottic entrapment in Thoroughbreds: 12 cases (2009-2015).

作者信息

Lee Sang-Kyu, Lee Inhyung

机构信息

College of Veterinary Medicine, Seoul National University, Seoul 08826, Republic of Korea.

KRA Equine Hospital, Korea Racing Authority, Gwacheon 13822, Republic of Korea.

出版信息

J Equine Sci. 2019 Jul;30(2):41-45. doi: 10.1294/jes.30.41. Epub 2019 Jul 3.

Abstract

Twelve Thoroughbred racehorses were diagnosed as epiglottic entrapment at the Korea Racing Authority equine hospital. Four different surgical correction techniques were used to treat epiglottic entrapment: the transnasal hook bistoury, transoral unshielded hook bistoury, transnasal shielded hook bistoury, and transendoscopic laser techniques. Eleven cases were surgically resolved eventually, with one case of recurrence. Five complications related to surgical correction occurred: a severe nasal passage laceration and bleeding (n=1), epiglottic laceration (n=1), epiglottis tip burns (n=2), and moderate nasal passage laceration (n=1). Intraoperative complications occurred in approximately 41.7% of cases. Thus, the possibility of surgical complication should be considered thoroughly when choosing a surgical technique for correction of epiglottic entrapment.

摘要

在韩国赛马管理局的马匹医院,12匹纯种赛马被诊断为会厌嵌顿。采用了四种不同的手术矫正技术来治疗会厌嵌顿:经鼻钩形手术刀、经口无防护钩形手术刀、经鼻有防护钩形手术刀和经内镜激光技术。最终11例手术成功,1例复发。发生了5例与手术矫正相关的并发症:严重鼻道撕裂和出血(n = 1)、会厌撕裂(n = 1)、会厌尖端烧伤(n = 2)和中度鼻道撕裂(n = 1)。术中并发症发生率约为41.7%。因此,在选择会厌嵌顿矫正手术技术时,应充分考虑手术并发症的可能性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b231/6606450/6915a51f295a/jes-30-041-g001.jpg

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