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犬腰椎间盘切除术入路探索

Exploration on Surgical Approach of Lumbar intervertebral Discectomy in Dogs
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摘要 为了探索治疗犬腰椎间盘突出症的合理手术入路,选择2月龄~1岁龄临床健康的本地杂交犬5只,分别编为1号~5号犬,其中1号、2号、3号犬施行半侧椎板切除术,4号、5号犬施行全椎板切除术,手术2周后进行X线摄片并剖检其腰椎结构变化。结果显示,术后1号~3号犬精神状态良好,饮食欲及体温正常,术部切口正常愈合,椎间盘部分或全部髓核被顺利取出;4号、5号犬手术中大出血,经治疗4号犬痊愈,而5号犬因衰弱而死亡。结果表明,腰椎间盘切除术要求严格的无菌操作和有效控制的麻醉,术犬侧卧位保定行半侧椎板切除是良好的手术入路,能够充分显露椎间盘、打开纤维环通道和切除髓核,有利于提高手术的安全性和保持腰椎的完整性与稳定性。 To explore the reasonable surgical approach of lumbar disc herniation in dogs,5 local hybrid dogs with ages from 2 months to 1 year old,being clinical healthy,were numbered from 1 to 5 espectively.The dog 1,2 ang 3 received hemi-laminectomy,but dog 4 and 5 received total laminectomy.In two weeks after the surgery,X-ray photos of the lumbar were shooted and structural changes of the lumbar observed.The results showed that the dogs 1 to 3 were in good spirit,diet,normal body temperatures and well healed incisions after surgery,whose partial or total disc nucleus were removed successfully.The dogs 4 to 5 had more bleeding during surgery.The fouth dog recovered by treatment while the fifth dog died due to weak.The results showed that lumbar discectomy strictly requires aseptic operation and effective control of anesthetic process.A lateral position and hemi-laminectomy are a good surgical approach,to fully reveal the disc,to open the annulus channel and remove the nuclear,witch help improve surgical safety and maintain the integrity and stability of the lumbar spine.
出处 《动物医学进展》 CSCD 北大核心 2010年第12期160-163,共4页 Progress In Veterinary Medicine
关键词 腰椎间盘 手术入路 dog lumbar intervertebral disc operative approach
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