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经典关节镜与针式关节镜诊断犬内侧肩不稳定的比较:31 例。

Comparison of classic and needle arthroscopy to diagnose canine medial shoulder instability: 31 cases.

机构信息

Small Animal Surgery Locum, PLLC, Dallas, Texas 75201, USA (von Pfeil); Sirius Veterinary Orthopedic Center, Omaha, Nebraska 68154, USA (von Pfeil, Horstman, Tan); Friendship Surgical Specialists, Washington, DC 20016, USA (von Pfeil, Megliola, Glassman).

出版信息

Can Vet J. 2021 May;62(5):461-468.

Abstract

This retrospective study compared surgery time, anesthesia time, and costs recorded with classic arthroscopy or needle arthroscopy when diagnosing canine medial shoulder instability. Signalment, examination findings, diagnostics, anesthesia time, surgery time, treatment, invoices, and complications were reported. All cases (classic arthroscopy, 14 cases; needle arthroscopy, 17 cases) were diagnosed with medial shoulder instability. Anesthesia times, surgery times, and invoices were statistically compared for classic and needle arthroscopy ( < 0.05). No significant differences were reported for surgery time ( = 0.13) but existed for anesthesia time (35 minutes shorter with needle arthroscopy; < 0.0001) and invoice (38% lower with needle arthroscopy; < 0.0001). No complications were recorded by the time of last direct follow-up, which was at a mean of 12.4 weeks after surgery. Needle arthroscopy offers an alternative, safe technique to reliably diagnose canine medial shoulder instability. Shorter anesthesia times and lower costs to the client may be advantages of needle over classic arthroscopy.

摘要

本回顾性研究比较了诊断犬内侧肩不稳定时,经典关节镜或针关节镜记录的手术时间、麻醉时间和费用。报告了一般情况、检查结果、诊断、麻醉时间、手术时间、治疗、发票和并发症。所有病例(经典关节镜 14 例,针关节镜 17 例)均诊断为内侧肩不稳定。经典关节镜和针关节镜的麻醉时间、手术时间和发票进行了统计学比较(<0.05)。手术时间无显著差异(=0.13),但麻醉时间(针关节镜短 35 分钟;<0.0001)和发票(针关节镜低 38%;<0.0001)存在差异。最后一次直接随访时未记录到并发症,平均在手术后 12.4 周。针关节镜为诊断犬内侧肩不稳定提供了一种替代、安全的技术。与经典关节镜相比,针关节镜可能具有麻醉时间更短和客户成本更低的优势。

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本文引用的文献

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Diagnosis of Medial Shoulder Instability.
Vet Comp Orthop Traumatol. 2019 Nov;32(6):v-vi. doi: 10.1055/s-0039-1700556. Epub 2019 Nov 13.

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