评估早期和系统性超声波检查,以确定小肠手术后的术后开裂情况(114 例猫狗病例)。

IF 1.6 2区 农林科学 Q2 VETERINARY SCIENCES
Paul Rafael, Carole Soulé, Paul Sériot, Sophie Gibert, Laurent Blond, Clément Baudin-Tréhiou, Antoine Dunié-Mérigot, Emilien Griffeuille
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引用次数: 0

摘要

目的评估早期超声波诊断手术后肠道裂开的可行性和可靠性,并找出最可靠的超声波裂开鉴定标准。此外,确定早期超声波发现肠漏对存活率和住院时间的影响。最后,评估仅对有开裂风险的人群进行系统筛查或检查的必要性。动物:31 只猫和 83 只狗:方法:对接受小肠手术的 83 只狗和 31 只猫(共 114 只)进行了一项基于记录的回顾性研究。研究记录了流行病学数据、临床症状、手术过程、术前和术后 48 至 96 小时的超声波检查结果、住院时间、并发症和一般结果。采用单变量和多变量分析确定与开裂相关的超声检查结果:结果:31 只猫中有 0 只、83 只狗中有 7 只(49 只中有 2 只进行了肠切开术,34 只中有 5 只进行了肠切除术)通过超声波检查怀疑发生了开裂。所有疑似开裂的病例都在翻修手术中得到了证实,只有一例肠切除术翻修病例除外,该病例的主人拒绝接受翻修手术。该病例和没有超声证据显示开裂的病例都没有出现肠漏的临床症状。据统计,肠壁不连续的直接可见性、气泡的存在以及肠道手术部位附近的液体与早期开裂有关。第二次手术后的存活率为 83%。第二次手术后因开裂住院的中位时间为2天(最短2天,最长4天):临床意义:在肠道手术后 48 至 96 小时内进行术后超声波检查,可以早期、敏感地发现肠道裂开。翻修手术后的存活率明显高于化脓性腹膜炎。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Evaluation of early and systematic ultrasound examination to determine postoperative dehiscence after small intestinal surgery (114 cases in dogs and cats).

Objective: To evaluate the feasibility and reliability of early ultrasound diagnosis for postsurgical bowel dehiscence and find the most reliable ultrasound criteria for dehiscence identification. Additionally, to determine the impact of early ultrasound detection of leakage in terms of survival and duration of hospitalization. Finally, to assess the need for systematized screening or checkup of the population at risk of dehiscence only.

Animals: 31 cats and 83 dogs.

Methods: A retrospective, records-based study was performed on 83 dogs and 31 cats (114 total) undergoing small intestinal surgery. Epidemiologic data, clinical signs, surgical procedures, pre- and postoperative ultrasound findings at 48 to 96 hours, hospitalization duration, complications, and general outcomes were recorded. Univariate and multivariate analyses were used to identify ultrasound findings associated with dehiscence.

Results: Dehiscence was suspected by ultrasound for 0 of 31 cats and 7 of 83 dogs (2 of 49 for enterotomy and 5 of 34 for enterectomy). Every suspected dehiscence was confirmed during revision surgery except one enterectomy revision, which was declined by the owner. Neither this case nor those without ultrasound evidence of dehiscence developed clinical signs of intestinal leakage. Direct visibility of wall discontinuity, presence of gas bubbles, and liquid in vicinity of the intestinal surgical site were statistically associated with early dehiscence. Survival rate after the second surgery was 83%. Median hospitalization time after the second surgery for dehiscence was 2 days (minimum, 2 days; maximum, 4 days).

Clinical relevance: Postoperative ultrasound examination between 48 and 96 hours after intestinal surgery allows early and sensitive detection of intestinal dehiscence. Survival rate after revision surgery was significantly higher than that associated with septic peritonitis.

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来源期刊
CiteScore
1.60
自引率
15.80%
发文量
539
审稿时长
6-16 weeks
期刊介绍: Published twice monthly, this peer-reviewed, general scientific journal provides reports of clinical research, feature articles and regular columns of interest to veterinarians in private and public practice. The News and Classified Ad sections are posted online 10 days to two weeks before they are delivered in print.
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