Agenesis,外置宫外泌尿道,和不起作用的膀:一个困难的临床案例与创新的方法
Armands Vekšins1, Laura Voiko1, Charlotte Sandersen2
1Latvia University of Life Sciences and Technologies Faculty of Veterinary Medicine, Jelgava, Latvia.
Case reports in veterinary medicine
|July 13, 2023
概括
一种自制的尿路支架成功地治疗了一只患有外阴尿道和病变的幼犬的尿失禁. 这种创新方法避免了安乐死,并恢复了狗的健康.
科学领域:
- 兽医医学 兽医医学 兽医医学
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 手术创新 在外科创新.
背景情况:
- 在一个7个月大的杰克·拉塞尔犬犬的持续性尿失禁.
- 通过计算机断层扫描诊断外壁宫外尿道和单边病变.
- 之前的新尿囊切除手术导致了严重的并发症,包括水尿管和水.
研究的目的:
- 描述在狗患者中成功使用定制尿管支架的情况.
- 在没有商业选择的情况下,为复杂的宫外泌尿器病例提供替代性手术解决方案.
- 要突出一种方法,以避免安乐死在一个年轻的狗与严重的泌尿系统异常.
主要方法:
- 自制尿道支架的制造,使用软的,无DEHP的PVC管 (3×4.1毫米光线,长度约40毫米).
- 支架通过手术放置,将尿管直接连接到泌尿膀.
- 手术后的监测包括定期进行血液和尿液检查.
主要成果:
- 自制的尿管支架成功绕过了阻塞,将尿管连接到膀.
- 狗从手术并发症中恢复过来,并保持了良好的整体健康状况.
- 手术后两年,血液和尿液检测结果保持在正常犬类范围之内.
结论:
- 定制的尿路支架是一种可行且有效的治疗方法,用于治疗狗子宫外尿管复杂病例.
- 当商业支架不合适或无法获得时,这种技术提供了一种拯救生命的替代方案.
- 这一成功的结果证明了兽医泌尿病学中创新性手术解决方案的潜力.
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