Howard R D, Pleasant R S, May K A
Department of Large Animal Clinical Sciences, Virginia-Maryland Regional College of Veterinary Medicine, Virginia Tech, Blacksburg 24061-0442, USA.
J Am Vet Med Assoc. 1998 May 15;212(10):1600-3.
Transendoscopic pulsed dye laser lithotripsy was effective in the treatment of calcium carbonate urothlithiasis in 2 adult geldings. Perineal urethrotomy provided convenient access for standing transendoscopic lithotripsy and evacuation of a large cystic calculus in one gelding. In the second horse, an obstructive urethral calculus was fragmented and removed by a transurethroscopic approach. Pulsed dye laser lithotriptor is effective in fragmentation of the most common form (calcium carbonate) of uroliths in horses and may be performed in standing horses with reduced surgical invasiveness and trauma to the urinary tract, compared with conventional approaches. The principle disadvantages include cost of the procedure, which is comparable to laparocystotomy, and the time delay required to make arrangements for use of the pulsed dye laser lithotriptor.
经内镜脉冲染料激光碎石术在治疗2匹成年去势公马的碳酸钙尿路结石方面效果良好。会阴尿道切开术为一匹去势公马的站立式经内镜碎石术及大囊性结石的排出提供了便利的通路。在第二匹马中，经尿道镜检查方法将阻塞性尿道结石破碎并取出。脉冲染料激光碎石器在破碎马匹中最常见类型（碳酸钙）的尿路结石方面效果良好，与传统方法相比，可在站立的马匹中进行，对尿路的手术侵袭性和创伤较小。主要缺点包括该手术的成本，与剖腹膀胱切开术相当，以及安排使用脉冲染料激光碎石器所需的时间延迟。
