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犬使用聚乙醇酸25进行阴囊尿道造口术的结果:67例病例(2011年至2023年)

Outcomes of scrotal urethrostomy with poliglecaprone 25 in dogs: 67 cases (2011 to 2023).

作者信息

Rohde Newgent Allison S, Hoelzler Michael G, Morgera Alison E

机构信息

Garden State Veterinary Specialists, 246 Industrial Way West, Eatontown, New Jersey 07724, USA.

出版信息

Can Vet J. 2024 Dec;65(12):1277-1284.

Abstract

OBJECTIVE

To determine the complication rate of canine scrotal urethrostomy (SU) performed with poliglecaprone 25 and identify risk factors for complications.

ANIMALS

We studied 67 dogs treated with SU.

PROCEDURE

Medical records of dogs that underwent SU between 2011 and 2023 at Garden State Veterinary Specialists and its satellite hospitals were reviewed. Information regarding signalment, urinary tract infections, suture pattern, indication for surgery, concurrent surgical procedures, and postoperative complications was recorded.

RESULTS

We found that 21 of 67 (31.34%) dogs experienced minor complications while hospitalized. Average length of hospitalization was 2.18 d. The short-term (< 2 mo) complication rate was 40.6% (26/64), and all were minor complications. Furthermore, 20 of 56 (35.71%) dogs had minor complications at long-term follow-up (> 2 mo). Dogs requiring an SU for conditions such as trauma, paraphimosis, priapism, urethral prolapse, and hypospadias had a 5.32× higher risk of complications than those with urolithiasis. No other significant risk factors for complications were identified.

CONCLUSION AND CLINICAL RELEVANCE

We inferred that poliglecaprone 25 may be an acceptable suture material for canine SU. Major complications were rare and long-term outcomes were favorable.

摘要

目的

确定使用聚乙醇酸25进行犬阴囊尿道造口术(SU)的并发症发生率,并确定并发症的危险因素。

动物

我们研究了67只接受SU治疗的犬。

方法

回顾了2011年至2023年在花园州兽医专科医院及其卫星医院接受SU治疗的犬的病历。记录了有关特征、尿路感染、缝合方式、手术指征、同期手术以及术后并发症的信息。

结果

我们发现67只犬中有21只(31.34%)在住院期间出现轻微并发症。平均住院时间为2.18天。短期(<2个月)并发症发生率为40.6%(26/64),且均为轻微并发症。此外,56只犬中有20只(35.71%)在长期随访(>2个月)时出现轻微并发症。因创伤、阴茎异常勃起、阴茎持续勃起、尿道脱垂和尿道下裂等情况需要进行SU的犬发生并发症的风险比患有尿路结石的犬高5.32倍。未发现其他显著的并发症危险因素。

结论及临床意义

我们推断聚乙醇酸25可能是犬SU可接受的缝合材料。主要并发症罕见,长期预后良好。

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