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单侧杓状软骨侧方移位及腔外聚丙烯环假体用于纠正犬气管塌陷

Unilateral arytenoid lateralisation and extraluminal polypropylene ring prostheses for correction of tracheal collapse in the dog.

作者信息

White R N

机构信息

Department of Small Animal Medicine and Surgery, Royal Veterinary College, University of London, Hatfield, Hertfordshire.

出版信息

J Small Anim Pract. 1995 Apr;36(4):151-8. doi: 10.1111/j.1748-5827.1995.tb02866.x.

DOI:10.1111/j.1748-5827.1995.tb02866.x
PMID:7603056
Abstract

The surgical repair of tracheal collapse in 25 dogs is described. The initial presenting signs included coughing, dyspnoea, gagging, retching, exercise intolerance, cyanosis and collapse. Diagnosis was based upon the clinical signs, plain radiography and tracheal endoscopy. The collapse was corrected by the application of a number of extraluminal polypropylene prosthetic rings applied to the affected trachea. Additionally, a left arytenoid lateralisation was also performed. The perioperative complication rate was approximately 4 per cent, while the success rate was 75 per cent. The technique reduces the likelihood of catastrophic postoperative complications associated with iatrogenic laryngeal paralysis which is a possible complication of placement of extraluminal tracheal support devices.

摘要

本文描述了25只犬气管塌陷的手术修复情况。最初出现的症状包括咳嗽、呼吸困难、作呕、干呕、运动不耐受、发绀和虚脱。诊断基于临床症状、X线平片和气管内镜检查。通过在受影响的气管上应用多个腔外聚丙烯假体环来纠正塌陷。此外,还进行了左侧杓状软骨外移术。围手术期并发症发生率约为4%,成功率为75%。该技术降低了与医源性喉麻痹相关的灾难性术后并发症的可能性,医源性喉麻痹是放置腔外气管支撑装置可能出现的并发症。

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