犬腰椎-荐骨狭窄症中重复给予甲泼尼龙时留置硬膜外导管的初步评估。
Preliminary evaluation of an indwelling epidural catheter for repeat methylprednisolone administration in canine lumbosacral stenosis.
机构信息
The Veterinary Specialty Clinic for Anesthesia and Neurology (VSCAN), 2300 Carling Avenue, Ottawa, Ontario K2B 7G1.
出版信息
Can Vet J. 2024 May;65(5):462-472.
OBJECTIVE
To determine the complications, outcomes, and patency of a permanent epidural catheter and subcutaneous access port system (ECAPS) as part of conservative management of degenerative lumbosacral stenosis in dogs.
ANIMALS AND PROCEDURE
Medical records of 11 client-owned dogs that underwent an ECAPS insertion were evaluated retrospectively. Clinical signs, complications related to the procedure, and system patency are reported.
RESULTS
All dogs had lumbosacral pain at their initial neurological assessment, with comfort levels adequately controlled following epidural infiltrations. None suffered from complications related to the ECAPS procedure. In 10 dogs, there were no malfunctions for the duration of the study. However, in 1 dog, there was a suspected leak at Day 814. The longest duration of patency reported in this study was 870 d (at the time of writing).
CONCLUSION
Placement of an ECAPS is a feasible technique and a viable option to permit repeated epidural injections of steroids in dogs with degenerative lumbosacral stenosis that is managed conservatively. Further studies are required to evaluate complication rates.
目的
确定永久性硬膜外导管和皮下接入端口系统（ECAPS）作为犬退行性腰骶狭窄保守治疗的一部分的并发症、结果和通畅率。
动物和程序
回顾性评估了 11 只接受 ECAPS 插入术的患犬的病历。报告了临床症状、与手术相关的并发症和系统通畅率。
结果
所有犬在最初的神经学评估时均有腰骶部疼痛，在接受硬膜外浸润后舒适度得到了充分控制。没有犬发生与 ECAPS 手术相关的并发症。在 10 只犬中，在研究期间没有出现故障。然而，在 1 只犬中，在第 814 天疑似出现泄漏。本研究报告的最长通畅时间为 870 天（在撰写本文时）。
结论
在退行性腰骶狭窄保守治疗的犬中，放置 ECAPS 是一种可行的技术，也是允许重复硬膜外注射类固醇的可行选择。需要进一步的研究来评估并发症发生率。
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