对52只猫的修改皮肤穿囊切除术和传统开放囊切除术的结果和比较
Alexis C Boone1, Cassie N Lux1, Katherine V Adair2
1Department of Small Animal Clinical Sciences, College of Veterinary Medicine, University of Tennessee, Knoxville, Tennessee, USA.
Veterinary surgery : VS
|June 16, 2025
概括
修改过皮肤囊切除术 (PCCLm) 与开放式囊切除术 (OC) 相比,提供了较短的切口和住院治疗猫类尿石切除术. PCCLm是一种可行的替代方案,用于切除猫的膀结石.
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
- 狗和猫科动物医学
背景情况:
- 膀石 (尿石) 是猫下尿路疾病的常见问题.
- 膀结石的手术切除通常是必要的,开放式囊切除术 (OC) 是一种传统的方法.
- 作为替代方案,正在探索微创技术,如修改的皮肤通囊切除术 (PCCLm).
研究的目的:
- 为了比较修改的皮肤通囊切除术 (PCCLm) 和猫的开放囊切除术 (OC) 之间的短期和长期临床结果.
- 在两个手术组中确定与并发症和治疗成功相关的危险因素.
主要方法:
- 追溯研究分析了2010年12月至2023年8月期间接受PCCLm或OC的52只客户拥有的猫的记录.
- 收集的数据包括信号,病史,诊断结果,程序细节,麻醉信息,住院,并发症和随访.
- 统计分析 (基平方,费舍尔精确,t测试) 用于比较手术组之间的结果和手术组内的结果.
主要成果:
- 总共进行了54次手术 (19个PCCLm,35个OC).
- 经合组织组的住院时间 (p = .031) 和切口长度 (p = .002) 显着更长.
- 在PCCLm中,尿石的不完全去除与术后尿路症状,更长的切口,麻醉时间和住院有关.
结论:
- 与开放式囊切除术 (OC) 相比,修改的皮肤穿囊切除术 (PCCLm) 导致切口更短,术后住院减少.
- 在本研究中没有发现PCCLm与OC相比的其他显著优势.
- PCCLm被提出为可接受的替代性手术选项,用于在猫身上切除尿石.
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