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雄性山羊膀胱袋形缝术治疗阻塞性尿路结石

Urinary bladder marsupialization for treatment of obstructive urolithiasis in male goats.

作者信息

May K A, Moll H D, Wallace L M, Pleasant R S, Howard R D

机构信息

Department of Large Animal Clinical Sciences, Virginia-Maryland Regional College of Veterinary Medicine, Virginia Tech, Blacksburg 24061, USA.

出版信息

Vet Surg. 1998 Nov-Dec;27(6):583-8. doi: 10.1111/j.1532-950x.1998.tb00534.x.

DOI:10.1111/j.1532-950x.1998.tb00534.x
PMID:9845222
Abstract

OBJECTIVES

To describe a surgical procedure for urinary bladder marsupialization and to report the results obtained from its use in the treatment of obstructive urolithiasis in male goats.

STUDY DESIGN

Retrospective evaluation.

ANIMALS OR SAMPLE POPULATION

Male goats with obstructive urolithiasis.

METHODS

Medical records of male goats that had urinary bladder marsupialization for the treatment of obstructive urolithiasis were reviewed. Data retrieved from the medical records included signalment, postoperative treatment, duration of hospitalization, and short-term and long-term complications. Median values for measured variables were calculated.

RESULTS

A total of 18 of 19 goats survived. Urinary flow was re-established in all 19 goats at the conclusion of surgery. Short-term postoperative complications (bladder mucosal prolapse and death) were observed in 2 goats. Long-term postoperative complications (cystitis and fibrotic stomal closure) occurred in 2 animals. Median duration of hospitalization was 4 days. At the time of follow-up, mild urine scald was reported for all goats. Clinical signs of upper urinary tract disease or obstruction were not reported. A total of 15 of 17 owners were satisfied with the procedure.

CONCLUSIONS

Urinary bladder marsupialization provided long-term resolution of urinary outflow obstruction in all goats with acceptable morbidity.

CLINICAL RELEVANCE

Urinary bladder marsupialization is a procedure that provides a good prognosis for long-term resolution of obstructive urolithiasis in male goats.

摘要

目的

描述膀胱造袋术的手术过程,并报告其用于治疗雄性山羊梗阻性尿路结石的结果。

研究设计

回顾性评估。

动物或样本群体

患有梗阻性尿路结石的雄性山羊。

方法

回顾接受膀胱造袋术治疗梗阻性尿路结石的雄性山羊的病历。从病历中检索的数据包括特征、术后治疗、住院时间以及短期和长期并发症。计算测量变量的中位数。

结果

19只山羊中有18只存活。所有19只山羊在手术结束时均恢复了尿流。2只山羊出现了短期术后并发症(膀胱黏膜脱垂和死亡)。2只动物出现了长期术后并发症(膀胱炎和造口纤维化闭合)。住院时间中位数为4天。随访时,所有山羊均报告有轻度尿渍。未报告上尿路疾病或梗阻的临床症状。17位主人中有15位对该手术满意。

结论

膀胱造袋术为所有山羊的尿路流出道梗阻提供了长期缓解,且发病率可接受。

临床意义

膀胱造袋术是一种对雄性山羊梗阻性尿路结石的长期缓解具有良好预后的手术。

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