在6只狗 (2012-2018) 中,医学溶解了假定的上部泌尿道斯特鲁维特尿矿
Sindumani A Manoharan1, Allyson C Berent1, Chick W Weisse1
1Department of Diagnostic Imaging and Interventional Radiology, The Animal Medical Center, New York, New York, USA.
Journal of veterinary internal medicine
|October 5, 2024
概括
医学溶解有效地治疗了狗的上尿路结石,为手术提供了不那么侵入性的替代方案. 这种方法,使用饮食和抗生素,在多个情况下实现了石头溶解.
科学领域:
- 兽医医学 兽医医学 兽医医学
- 腎臟病學 (nephrology) 是一種醫學.
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
背景情况:
- 至少侵入性手术是人类上尿路结石的标准.
- 狗的尿病通常需要侵入性治疗.
研究的目的:
- 描述狗狗上部泌尿道尿石的医学溶解.
- 报告这种微创治疗的临床结果.
主要方法:
- 追溯的案例系列6只狗的上部泌尿道uroliths.
- 治疗包括饮食修改,抗生素和尿道支架,如有指示.
- 在解体后4周内,医疗管理继续进行.
主要成果:
- 所有狗在1.1个月内都显示出初始的尿素溶解.
- 尿道和石的完全溶解分别发生在3.9个月和5.3个月.
- 伪中间体葡萄球菌是常见的病原体,其中4/5的狗患有pyonephrosis.
结论:
- 医学溶解是一种可行的,对狗上泌尿道 struvite uroliths 的最小侵入性治疗方法.
- 在采取更具侵入性的外科选择之前,应该考虑这种方法.
- 通过尿路支架的减压有助于成功的医学溶解.
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