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气动碎石术治疗公畜尿道结石

Urethral Urolithiasis in Male Cattle Treated Using Pneumatic Lithotripsy.

机构信息

Department of Surgery, Faculty of Veterinary Medicine, Kafkas University, Kars, Turkey.

出版信息

Vet Res Commun. 2022 Sep;46(3):871-877. doi: 10.1007/s11259-022-09914-7. Epub 2022 Mar 15.

DOI:10.1007/s11259-022-09914-7
PMID:35292890
Abstract

One of the most important problems encountered in cattle breeding is urethral urolithiasis. Urolithiasis can be treated using various methods, but they all carry risks. Thus, a continuous search is being carried out for alternatives in this field. This study aimed to treat urethral urolithiasis in male cattle using pneumatic lithotripsy, a minimally invasive method. The urethra and penile tissues of 20 male cattle of different ages and breeds were obtained from slaughterhouse materials and measured before determining the probe diameters and lengths. The study included 9 male cattle (2 Simmental hybrids, 1 Zavot hybrid, 1 Brown, and 5 Simmental), between 4 months and 2 years of age, diagnosed with urethral urolithiasis. A modified lithotripsy apparatus was used for the pneumatic disintegration of urinary stones. The localization of urinary stones in the urethra was determined by palpation and catheterization. After laying the animal in a lateral position, a lithotripsy probe of appropriate length and diameter was advanced from the external urethral orifice to the site of localization. Once the probe came into contact with the stone, a vibration of 125 bar was applied until the stone was broken. The probe was removed, and the urethral channel was washed with 0.1% iodine solution to remove the shredded urethral stones. Uncomplicated recovery was achieved in all treated cases. In conclusion, pneumatic lithotripsy provided successful results in treating urolithiasis and can be used as an alternative surgical method in cattle. Moreover, the low cost is an additional advantage to breeders.

摘要

在牛的养殖中,最重要的问题之一是尿道尿石病。可以使用各种方法治疗尿石病,但都有风险。因此,在该领域一直在寻找替代方法。本研究旨在使用气动碎石术治疗公牛皮质尿道结石,这是一种微创方法。从屠宰场材料中获得了 20 头不同年龄和品种的公牛皮质尿道和阴茎组织,并在确定探头直径和长度之前进行了测量。本研究包括 9 头公牛(2 头西门塔尔杂种牛、1 头扎沃杂交牛、1 头棕色牛和 5 头西门塔尔牛),年龄在 4 个月至 2 岁之间,患有尿道尿石病。使用改良的碎石机设备对尿结石进行气动粉碎。通过触诊和导尿来确定尿道结石的位置。将动物置于侧卧位后,将适当长度和直径的碎石探头从尿道外口推进到定位部位。一旦探头接触到石头,就会施加 125 巴的振动,直到石头破裂。取出探头,用 0.1%碘溶液冲洗尿道通道,以清除碎尿道结石。所有治疗病例均恢复顺利。总之,气动碎石术在治疗尿石病方面取得了成功的结果,可以作为牛的替代手术方法。此外,低成本是对饲养者的另一个优势。

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本文引用的文献

1
Tissue effects of intracorporeal lithotripsy techniques during percutaneous nephrolithotomy: comparison of pneumatic and ultrasonic lithotripters on rat bladder.经皮肾镜取石术中体内碎石技术的组织效应:气压弹道碎石机和超声碎石机对大鼠膀胱影响的比较
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The use of radial extracorporeal shockwave therapy in the treatment of urethral urolithiasis in the horse: a preliminary study.马匹尿道尿石症治疗中桡动脉体外冲击波疗法的应用:一项初步研究。
J Vet Intern Med. 2008 Nov-Dec;22(6):1449-51. doi: 10.1111/j.1939-1676.2008.0197.x.
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Use of laser lithotripsy for fragmentation of uroliths in dogs: 73 cases (2005-2006).
犬尿石症激光碎石术的应用:73例(2005 - 2006年)
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4
Perforation of the upper ureter: a rare complication of extracorporeal shock wave lithotripsy.上段输尿管穿孔:体外冲击波碎石术的一种罕见并发症。
Urol Res. 2007 Aug;35(4):215-8. doi: 10.1007/s00240-007-0101-9. Epub 2007 May 31.
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Vet Surg. 2006 Jul;35(5):417-22. doi: 10.1111/j.1532-950X.2006.00169.x.
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Vet Clin North Am Small Anim Pract. 1999 Jan;29(1):293-302, xv. doi: 10.1016/s0195-5616(99)50017-x.
7
Holmium:YAG lithotripsy yields smaller fragments than lithoclast, pulsed dye laser or electrohydraulic lithotripsy.钬激光碎石术产生的碎片比超声碎石术、脉冲染料激光或液电碎石术产生的碎片更小。
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8
Tube cystostomy for treatment of obstructive urolithiasis in small ruminants.用于治疗小型反刍动物梗阻性尿路结石的经皮肾造瘘术
Vet Surg. 1995 Nov-Dec;24(6):498-505. doi: 10.1111/j.1532-950x.1995.tb01361.x.