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病例报告：一只犬尿道重复畸形术后并发症

Case report: Post-surgical complication in a case of urethral duplication in a dog.

作者信息

Martins Joana B, Rosa Rita, Iglésias Leonor V, Reisinho Ana, Mestrinho Lisa A

机构信息

Faculty of Veterinary Medicine, Veterinary Teaching Hospital, University of Lisbon, Lisbon, Portugal.

Faculty of Veterinary Medicine, CIISA - Centre for Interdisciplinary Research in Animal Health, University of Lisbon, Lisbon, Portugal.

出版信息

Front Vet Sci. 2022 Nov 25;9:1013270. doi: 10.3389/fvets.2022.1013270. eCollection 2022.

DOI:10.3389/fvets.2022.1013270
PMID:36504875
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9732570/
Abstract

Urethral duplication is a rare anomaly observed in veterinary medicine. The surgical techniques described therein are associated with an uneventful recovery. The authors describe a major surgical complication after the correction of urethral duplication in a 2-year-old male Yorkshire terrier. After surgical correction using the perineal approach, the patient developed pollakiuria and urinary retention due to a valve effect caused by the remnant of the dorsal opening of the ectopic urethra. A second procedure, using an abdominopelvic approach, successfully corrected the complication by intraluminal correction of the dorsal urethral wall.

摘要

尿道重复畸形是兽医学中一种罕见的异常情况。文中描述的手术技术与恢复顺利相关。作者描述了一只2岁雄性约克夏梗犬尿道重复畸形矫正术后的一种主要手术并发症。采用会阴入路进行手术矫正后，由于异位尿道背侧开口残余物产生的瓣膜效应，患者出现尿频和尿潴留。第二次手术采用腹盆腔入路，通过腔内矫正尿道背侧壁成功矫正了该并发症。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fb9c/9732570/0ad3a6140168/fvets-09-1013270-g0004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fb9c/9732570/229b011ef24d/fvets-09-1013270-g0001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fb9c/9732570/423e04f4f83f/fvets-09-1013270-g0002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fb9c/9732570/486bc4721299/fvets-09-1013270-g0003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fb9c/9732570/0ad3a6140168/fvets-09-1013270-g0004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fb9c/9732570/229b011ef24d/fvets-09-1013270-g0001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fb9c/9732570/423e04f4f83f/fvets-09-1013270-g0002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fb9c/9732570/486bc4721299/fvets-09-1013270-g0003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fb9c/9732570/0ad3a6140168/fvets-09-1013270-g0004.jpg

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PLoS One. 2020 Feb 14;15(2):e0223697. doi: 10.1371/journal.pone.0223697. eCollection 2020.
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Urethral Duplication in Children: Experience of Twenty Cases.儿童尿道重复畸形：20例经验
J Indian Assoc Pediatr Surg. 2019 Oct-Dec;24(4):275-280. doi: 10.4103/jiaps.JIAPS_164_18.
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Incomplete Urethral Duplication Associated with a Dermoid Cyst within a Vascular Hamartoma in a Female Dog.
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Vet Sci. 2019 May 30;6(2):50. doi: 10.3390/vetsci6020050.
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Canine Incontinence.犬类尿失禁
Vet Clin North Am Small Anim Pract. 2019 Mar;49(2):125-140. doi: 10.1016/j.cvsm.2018.11.003.
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Urethral duplication type influences on the complications rate and number of surgical procedures.尿道重复畸形的类型会影响并发症发生率和手术操作次数。
Int Braz J Urol. 2017 Nov-Dec;43(6):1144-1151. doi: 10.1590/S1677-5538.IBJU.2016.0269.
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Fate of males with urethral "Y-duplication": 40-year long follow-up in 8 patients.尿道“Y形重复”男性患者的转归：8例患者长达40年的随访
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