用于治疗小型反刍动物梗阻性尿路结石的经皮肾造瘘术
Tube cystostomy for treatment of obstructive urolithiasis in small ruminants.
作者信息
Rakestraw P C, Fubini S L, Gilbert R O, Ward J O
机构信息
Department of Clinical Sciences, New York State College of Veterinary Medicine, Cornell University, Ithaca, USA.
出版信息
Vet Surg. 1995 Nov-Dec;24(6):498-505. doi: 10.1111/j.1532-950x.1995.tb01361.x.
Tube cystostomy was used to treat 13 goats and two sheep with obstructive urolithiasis. The cystostomy tube was intermittently occluded 3 to 4 days after placement to determine if urine could be voided through the urethra. If the animal showed no discomfort during urination after the cystostomy tube had been occluded for several days, the tube was removed. This procedure was successful in relieving urethral obstruction in 12 animals. The mean time until the animal could urinate freely and until the cystostomy tube was removed was 11.5 and 14.4 days respectively. Follow-up was available for 10 animals; seven were alive with no recurrence of urinary obstruction. One goat died from unrelated to urinary obstruction 1 year postoperatively. One goat died from unknown causes, and one goat died after urinary obstruction recurred.
采用膀胱造瘘术治疗13只山羊和2只绵羊的梗阻性尿路结石。膀胱造瘘管置入3至4天后间歇性堵塞，以确定尿液是否能通过尿道排出。如果在膀胱造瘘管堵塞几天后动物排尿时无不适，则拔除造瘘管。该方法成功解除了12只动物的尿道梗阻。动物能够自由排尿和拔除膀胱造瘘管的平均时间分别为11.5天和14.4天。对10只动物进行了随访；7只存活，尿路梗阻未复发。1只山羊术后1年死于与尿路梗阻无关的原因。1只山羊死因不明，1只山羊在尿路梗阻复发后死亡。
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