对猫近端尿管阻塞的外垂体,双层,侧对侧尿管造系统结合缓解张力技术:一项回顾性研究
Kazuhisa Oyamada1, Michito Inoue1, Kanae Sato-Takada1
1Matsubara Animal Hospital, Matsubara, Japan.
Veterinary surgery : VS
|June 22, 2023
概括
外垂体,双层,侧向侧的尿管造术与缓解张力技术 (ETSUTT) 结合,是猫近端尿管阻塞的安全有效的外科选择. 这种新的程序为具有挑战性尿管阻塞的猫提供了公平的长期预后.
科学领域:
- 兽医外科 兽医外科 兽医外科
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 腎臟病學 (nephrology) 是一種醫學專業.
背景情况:
- 猫类尿管阻塞,特别是在尿管盆结 (UPJ) 附近,带来了重大的外科手术挑战.
- 传统的外科手术技术对于近位阻塞的成功率可能有限.
研究的目的:
- 详细介绍一下外垂体外的外科手术技术,两层,侧向侧的尿管管内系统结合缓解张力技术 (ETSUTT).
- 评估临床结果和长期预后 ETSUTT 在猫与近端尿路阻塞.
主要方法:
- 一个回顾性案例系列,涉及10只私人猫在UPJ附近出现尿管阻塞.
- 在ETSUTT手术中,采用了经过修改的extravesicular技术,采用了两层,侧对侧尿管造系统术和缓解紧张的方法 (脏下降,尿管止,腎止).
主要成果:
- 所有的猫都幸存下来,随着手术后血尿素和肌素水平的降低而出院.
- 发生轻微的外科手术后并发症 (例如,尿路导管脱落,过渡性波拉基乌里亚/脱尿症),但不需要特殊治疗.
- 在10只猫中,有7只猫在648天的中位随访期内没有出现复发性尿路阻塞.
结论:
- ETSUTT手术是一种可行且安全的外科手术选择,用于猫近端尿路阻塞,包括UPJ阻塞.
- ETSUTT提供了公平至良的长期预后,特别是在狭窄引起的阻塞,提供了可行的治疗替代方案.
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