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25 例猫经皮囊状造口猪尾导管的临床应用及并发症。

Clinical use and complications of percutaneous cystostomy pigtail catheters in 25 cats.

机构信息

Small Animal Referral Hospital Langford, University of Bristol, Bristol, UK.

Soft Tissue Service, University of Bristol, Bristol, UK.

出版信息

J Feline Med Surg. 2022 Jun;24(6):e28-e33. doi: 10.1177/1098612X221080902. Epub 2022 Apr 1.

Abstract

OBJECTIVES

The aims of this study were to describe the indications for percutaneous pigtail catheter placement in cats requiring urine diversion, and to report the associated intra- and postoperative complications.

METHODS

The medical records of cats that underwent percutaneous pigtail catheter placement for urine diversion between January 2011 and May 2021 were retrospectively reviewed.

RESULTS

Twenty-five cats were included. Indications for pigtail catheter placement were medical management of obstructive urinary tract disease (n = 12), urinary tract damage after traumatic injury (n = 8) and neurological bladder dysfunction (n = 5). Catheters were in place for a median time of 8.28 days (range 3-27), and the duration of the catheter placement was not different between the medical, traumatic and neurological groups. Ten cats (40%) developed pigtail catheter complications including dislodgement, urine leakage, urinary tract infection and bladder rupture. The majority of complications were easily resolved and did not require surgical intervention.

CONCLUSIONS AND RELEVANCE

The results suggest that percutaneous pigtail catheter placement can facilitate urine diversion in both the emergency setting and in the long-term management of urine retention without many complications.

摘要

目的

本研究旨在描述需要导尿的猫行经皮卷曲导管置管术的适应证,并报告相关的围手术期并发症。

方法

回顾性分析了 2011 年 1 月至 2021 年 5 月期间因导尿而行经皮卷曲导管置管术的猫的病历。

结果

共纳入 25 只猫。卷曲导管置管的适应证为梗阻性尿路疾病的药物治疗(n=12)、创伤后尿路损伤(n=8)和神经源性膀胱功能障碍(n=5)。导管留置的中位时间为 8.28 天(范围 3-27 天),且在药物治疗、创伤和神经组之间,导管留置时间无差异。10 只猫(40%)出现卷曲导管并发症,包括移位、尿液渗漏、尿路感染和膀胱破裂。大多数并发症容易解决,不需要手术干预。

结论和相关性

结果表明,经皮卷曲导管置管术可在紧急情况下和长期留置导尿管理中方便地进行尿液引流,且并发症较少。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6a8a/11104234/12716417cba4/10.1177_1098612X221080902-fig1.jpg

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