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山羊、绵羊和猪临时膀胱造瘘术后并发症的危险因素、频率和类型。

Risk factors for, frequency, and type of complications after temporary tube cystostomy in goats, sheep, and pigs.

机构信息

Department of Production Animal Health, Faculty of Veterinary Medicine, University of Calgary, Calgary, Alberta, Canada.

Department of Medicine and Epidemiology, School of Veterinary Medicine, University of California-Davis, California.

出版信息

Vet Surg. 2021 Feb;50(2):283-293. doi: 10.1111/vsu.13553. Epub 2020 Dec 21.

Abstract

OBJECTIVE

To describe risk factors for as well as type and frequency of complications, time to occurrence of complications, and mortality after temporary tube cystostomy alone or in combination with other surgical procedures, in goats, sheep, and pigs.

STUDY DESIGN

Retrospective case series.

ANIMALS

One hundred thirteen goats, eight sheep, and six pigs.

METHODS

Medical records of goats, sheep, and pigs that underwent temporary tube cystostomy alone or in combination with urethrotomy at the Veterinary Medicine Teaching Hospital, University of California-Davis from January 1, 2007 to December 31, 2018 were reviewed. Signalment, presurgical and surgical procedures, urolith type and location, and postoperative complications and mortality were analyzed. In goats, logistic regression analysis was performed to determine association between the presence of complications or mortality as well as candidate predictor variables.

RESULTS

Postoperative complications were reported in 54.9% (62/113) of goats, 37.5% (3/8) of sheep, and 50% (3/6) of pigs. The most frequent type of complication was reobstruction. Median (range) time to first complication was 171 days (1-2247) for goats. In sheep and pigs, the range for time to re-presentation for complications was 11 to 37 and 17 to 1182 days, respectively. Proportions of nonsurvivors after tube cystostomy were 48.4% (30/62) goats, 1/8 sheep and 2/6 pigs. No association between examined predictor variables and the occurrence of complications or mortality was detected.

CONCLUSION

The risk of complications and mortality after temporary tube cystostomy was high, especially in goats.

CLINICAL SIGNIFICANCE

Owners should be made aware of the high complication rate after temporary tube cystostomy alone or in combination with other procedures. Investigation of alternative approaches to manage obstructive urolithiasis in goats, sheep, and pigs should be considered.

摘要

目的

描述单纯或联合其他手术行临时导尿管膀胱造口术的山羊、绵羊和猪的并发症类型和频率、并发症发生时间、死亡率的风险因素。

研究设计

回顾性病例系列研究。

动物

113 只山羊、8 只绵羊和 6 只猪。

方法

回顾 2007 年 1 月 1 日至 2018 年 12 月 31 日期间在加利福尼亚大学戴维斯分校兽医学院行单纯或联合尿道切开术的临时导尿管膀胱造口术的山羊、绵羊和猪的病历。分析其一般情况、术前和手术过程、尿石类型和位置以及术后并发症和死亡率。在山羊中,进行逻辑回归分析,以确定并发症或死亡率的存在与候选预测变量之间的关系。

结果

报告 54.9%(62/113)的山羊、37.5%(3/8)的绵羊和 50%(3/6)的猪出现术后并发症。最常见的并发症类型是再梗阻。山羊首次并发症的中位(范围)时间为 171 天(1-2247)。绵羊和猪再次出现并发症的中位(范围)时间分别为 11-37 天和 17-1182 天。62 例发生并发症的山羊中,30 例(48.4%)死亡,1 例绵羊(1/8)和 2 例猪(2/6)死亡。未检测到检查的预测变量与并发症或死亡率的发生之间存在关联。

结论

临时导尿管膀胱造口术后发生并发症和死亡的风险较高,尤其是在山羊中。

临床意义

应让主人了解单纯或联合其他手术行临时导尿管膀胱造口术后发生并发症的高风险。应考虑替代方法来治疗山羊、绵羊和猪的阻塞性尿石症。

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