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八只犬经皮内镜下有限腰骶部椎板切除术——一项尸体研究

Percutaneous endoscopic limited-lumbosacral-dorsal laminectomy in eight dogs - A cadaveric study.

作者信息

Yang Seung-Bong, Moon Hee-Sup, Hwang Yong-Hyun, Lee Hee-Chun, Lee Dongbin, Lee Jae-Hoon

机构信息

Institute of Animal Medicine, College of Veterinary Medicine, Gyeongsang National University, Jinju, Republic of Korea.

出版信息

Vet Med (Praha). 2021 Jun 1;66(7):279-286. doi: 10.17221/33/2020-VETMED. eCollection 2021 Jul.

Abstract

This study aimed to investigate the technical feasibility of a percutaneous endoscopic limited-dorsal laminectomy (PELDL) and to evaluate if the decompression and examination of the lumbosacral vertebral canals could be achieved using an endoscope in small dogs. A total of eight fresh canine cadavers were used for the study. Following the injection of a barium and agarose mixture (BA-gel), which simulates intervertebral disc herniation, a PELDL was performed over L7-S1 in these animals. Computed tomography (CT) scans were obtained pre- and postoperatively to evaluate the surgical outcomes. All the procedures were completed with a clear visualisation of the spinal cord and removal of the BA-gel. The mean surgery time for the PELDL was 30.00 ± 12.01 minutes. In two dogs, iatrogenic nerve root injuries were caused by the surgical instruments during the operation. The CT scans showed that the amount of BA-gel removed was sufficient for a spinal-cord decompression. A PELDL could be used for the BA-gel removal to decompress the spinal cord and provide a clear view of the spinal canal. Therefore, it could be used as an alternative surgical option to treat lumbosacral disc disease in dogs.

摘要

本研究旨在探讨经皮内镜下有限后路椎板切除术(PELDL)的技术可行性,并评估在小型犬中使用内镜是否能够实现腰骶椎管减压及检查。本研究共使用了8具新鲜犬类尸体。在注入模拟椎间盘突出的钡剂和琼脂糖混合物(BA凝胶)后,对这些动物的L7-S1节段进行了PELDL。术前和术后均进行了计算机断层扫描(CT)以评估手术效果。所有手术均在清晰观察脊髓并清除BA凝胶的情况下完成。PELDL的平均手术时间为30.00±12.01分钟。在两只犬中,手术过程中手术器械造成了医源性神经根损伤。CT扫描显示,清除的BA凝胶量足以实现脊髓减压。PELDL可用于清除BA凝胶以减压脊髓并清晰观察椎管。因此,它可作为治疗犬腰骶椎间盘疾病的一种替代手术选择。

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