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视频喉镜引导下的雌性迷你猪的尿道插管。

Video laryngoscope-guided urethral catheterization in female minipigs.

机构信息

Department of Burns and Plastic Surgery, The Fourth Medical Center of Chinese PLA General Hospital, Beijing, China.

Medical School of Chinese PLA, Beijing, China.

出版信息

Lab Anim. 2022 Oct;56(5):446-453. doi: 10.1177/00236772221092933. Epub 2022 May 10.

Abstract

OBJECTIVE

The objective of this work was to anatomically locate the urethral orifice in female minipigs and describe the use of video laryngoscopes in urethral catheterization.

METHODS

Urethral catheterization guided by a video laryngoscope was attempted in 16 adult female Bama minipigs. The anatomical location of urethral orifices, operating time and complications (mucosal edema and bleeding in the vaginal vestibule, and the numbers of red blood cells (RBCs) and white blood cells (WBCs) in mid-stream urine samples) were recorded.

RESULTS

The anatomical location of the urethral orifice: the depth of the urethral orifice in female Bama minipigs was 4.2 ± 1.2 cm; all the urethral orifices were covered by mucosal folds of the vaginal vestibule. In the supine position, the orifice of the urethra at 9-12 and 1-3 o'clock accounted for 6.25%, 6.25%, 18.75%, 50%, 12.5%, 6.25% and 6.25%, respectively. All animals were successfully catheterized and the operating time was 9.0 (6.0-12.8) min. Complications: no bleeding in the vaginal vestibule was observed; the incidence of mucosal edema was 12.5%, all of which were mild; of urine samples collected 1 h after catheterization, 12.5% were found to contain RBCs and no RBCs were detected 6 h after catheterization; no WBCs were detected 1 h or 6 h after catheterization.

CONCLUSIONS

The urethral orifice of female minipigs was located deep in the vagina at variable clock directions and was unexceptionally covered by mucosal folds. Applying a video laryngoscope in urethral catheterization allowed quick and accurate exposure of the urethral orifice and minimal operational injury in female minipigs.

摘要

目的

本研究旨在对雌性巴马小型猪的尿道外口进行解剖定位,并描述视频喉镜在导尿中的应用。

方法

对 16 头成年雌性巴马小型猪进行了视频喉镜引导下的尿道插管。记录尿道外口的解剖位置、操作时间和并发症(阴道前庭黏膜水肿和出血,以及中段尿样中的红细胞(RBC)和白细胞(WBC)数量)。

结果

尿道外口的解剖位置:雌性巴马小型猪尿道外口深度为 4.2±1.2cm;所有尿道外口均被阴道前庭黏膜皱襞覆盖。仰卧位时,尿道外口位于 9-12 点和 1-3 点方向的比例分别为 6.25%、6.25%、18.75%、50%、12.5%、6.25%和 6.25%。所有动物均成功插管,操作时间为 9.0(6.0-12.8)min。并发症:阴道前庭无出血;黏膜水肿发生率为 12.5%,均为轻度;导尿后 1 h 采集的尿样中,有 12.5%含有 RBC,导尿后 6 h 无 RBC 检出;导尿后 1 h 和 6 h 均未检出 WBC。

结论

雌性小型猪的尿道外口位于阴道深处,呈不定时钟方向分布,无一例外被黏膜皱襞覆盖。在尿道插管中应用视频喉镜可快速、准确地暴露尿道外口,对雌性小型猪的手术损伤较小。

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