개에서 역행성 관류를 이용한 요관결석 제거술

Ureterolithotomy using Retrograde Hydropropulsion in a Dog

  • 양우종 (건국대학교 수의과대학 수의외과학교실) ;
  • 장화석 (건국대학교 수의과대학 수의외과학교실) ;
  • 정다정 (건국대학교 수의과대학 수의외과학교실) ;
  • 이재훈 (건국대학교 수의과대학 수의외과학교실) ;
  • 강은희 (건국대학교 수의과대학 수의외과학교실) ;
  • 김대현 (건국대학교 수의과대학 수의외과학교실) ;
  • 정욱헌 (건국대학교 수의과대학 수의외과학교실) ;
  • 최치봉 (건국대학교 수의과대학 수의외과학교실) ;
  • 김휘율 (건국대학교 수의과대학 수의외과학교실)
  • Yang, Wo-Jong (Department of Veterinary Surgery, College of Veterinary Medicine, Konkuk University) ;
  • Chang, Hwa-Seok (Department of Veterinary Surgery, College of Veterinary Medicine, Konkuk University) ;
  • Chung, Dai-Jung (Department of Veterinary Surgery, College of Veterinary Medicine, Konkuk University) ;
  • Lee, Jae-Hoon (Department of Veterinary Surgery, College of Veterinary Medicine, Konkuk University) ;
  • Kang, Eun-Hee (Department of Veterinary Surgery, College of Veterinary Medicine, Konkuk University) ;
  • Kim, Dae-Hyun (Department of Veterinary Surgery, College of Veterinary Medicine, Konkuk University) ;
  • Chung, Wook-Hun (Department of Veterinary Surgery, College of Veterinary Medicine, Konkuk University) ;
  • Chi-Bong, Choi (Department of Veterinary Surgery, College of Veterinary Medicine, Konkuk University) ;
  • Kim, Hwi-yool (Department of Veterinary Surgery, College of Veterinary Medicine, Konkuk University)
  • 심사 : 2009.09.30
  • 발행 : 2011.02.28

초록

A Shihtzu (6-year-old, intact female) was referred to Konkuk University Teaching Animal Hospital for cystic calculus and hydronephrosis of right kiney. The dog was suspected to have ureteral rupture and peritonitis. Radiographic findings included cyctic calculi and right kidney enlargement. On ultrasonographic examination hyperechoic mass with severe acoustic shadowing was located in the right proximal ureter which was dilated. Hydronephrosis of the right kidney, right ureteral caculus and cytic calculus were confirmed by radiography and ultrasonography. Cystotomy for removal of calculus in the bladder and ureterotomy for removal of calculus in the right ureter were performed. Excretory urography (EU) performed one month after surgery revealed that the right ureter was homogeneously opacified and decreased to 3 to 6 mm in diameter. Surgical removal of ureteroliths was appropriate treatment for the ureteral and cystic calculi. The result suggests that ureterotomy is effective treament for the dilation and calculi of ureter.

키워드

참고문헌

  1. Ettinger SJ, Feldman EC: Textbook of veterinary internal medicine. 5 th ed. Philadelphia: W.B. Saunders 2000: 1753-1754.
  2. Fossum TW, Hedlund CS, Hulse DA, Johnson AL, Seim HB, Willard MD, Carroll GL. Surgery of the kidney and ureter. In: Small animal surgery, 2 nd ed. Missuri: Mosby. 2002: 549-571.
  3. Gookin JL, Stone EA, Spaulding KA, Berry CR. Unilateral nephrectomy in dogs with renal disease: 30 cases (1985-1994). J Am Vet Med Assoc 1996; 208: 2020-2026.
  4. Kealy JK, and McAllister Hester: Diagnostic radiology and ultrasonography of the dog and cat. 4th ed. St. Louis: Saunders 2005: 108-149 4th edition
  5. Kyles AE, Aronsohn M, Stone E.A. Urogenital surgery. In: Complication in small animal surgery, Baltimore: Williams & Wilkons. 1996: 455-496.
  6. Kyles AE, Stone E.A. Removal of nephroliths. In: Current techniques in small animal surgery, 4 th ed. Baltimore: Williams & Wilkons. 1998: 431-434.
  7. Owens JM, and Biery DN: Radiographic interpretation for the small animal clinician. 2 nd ed. Baltimore: Willams & Wilkons. 1999: 264-268.
  8. Pugh CR, Haker Rhodes W, and Biery DN: Contrast studies of the urogenital system. In: Veterinary Clinics of North America. 1993: 281-306.
  9. Root CR: Contrast radiography of the urinary system. In (Ticer JW): Radiographic technique in small animal practice. Philadelphia: W.B. Saunders 1975: 396-414.
  10. 김봉수, 이성호. 요관결석이 의심되는 환자에서 비조영 나선형 CT의 유용성. 대한방사선의학회지 2002; 47: 61-67.
  11. 장웅기, 홍영권. 하부요관결석의 자연배출을 위한 이뇨제, 알파차단제, 부신피질 호르몬제 삼중요법의 효과. 대한비뇨기과학회지 2008; 49: 11.