Re: [請問] 母狗結紮只摘卵巢?

看板dog作者pooh1984 (Joanne)時間9年前 (2015/05/25 23:52)推噓6(6推 0噓 27→)

留言33則, 6人參與討論串4/4 (看更多)

※ 引述《bigfatzero (blablabla)》之銘言： : ※ 引述《kb09 (09)》之銘言： : : Comparison of long-term effects of ovariectomy versus ovariohysterectomy in bi : : tches. : : Although ovariectomy is less invasive and less time-consuming than ovariohyste : : rectomy, most surgical textbooks recommend ovariohysterectomy for routine neut : : ering of bitches. This advice is probably based on concerns about the developm : : ent of uterine disease after ovariectomy. However, there is no evidence that c : : onditions such as cystic endometrial hyperplasia (CEH)-endometritis develop in : : the ovariectomized bitch, unless progestagens are administered. The purpose o : : f this study was therefore to compare the long-term effects of ovariectomy and : : ovariohysterectomy, including the incidence of urinary incontinence. Question : : naires were sent to 264 owners of bitches, in which ovariectomy (126) or ovari : : ohysterectomy (138) had been performed as a routine neutering procedure 8-11 y : : ears earlier. Complete data were available for 69 bitches of the ovariectomy g : : roup and for 66 bitches from the ovariohysterectomy group. There were no indic : : ations that endometritis had developed in bitches of the ovariectomy group. No : : ne of the bitches was sexually attractive to male dogs after neutering. The oc : : currence of a clear to white vaginal discharge was reported in two bitches of : : each group, but none of these four bitches appeared to be ill during the perio : : ds when the discharge was present. Furthermore, with the exception of urinary : : incontinence, no problems were reported that could be related to the surgical : : neutering. Six of the ovariectomized bitches and nine of the ovariohysterectom : : ized bitches eventually developed urinary incontinence. Of these 15 bitches (1 : : 1%), 12 weighed more than 20 kg. Bouvier des Flandres bitches were at a higher : : risk of developing urinary incontinence than were those of the other breeds. : : The possibility that the urinary incontinence was due at least in part to othe : : r conditions must be considered, since eight of the bitches were 9 years or ol : : der before urinary incontinence occurred and seven of the incontinent bitches : : also had polyuria or polydipsia. There were no significant differences in the : : incidence of urogenital problems listed above between the bitches of the ovari : : ectomy and ovariohysterectomy group. It is hypothesized that a uterine disease : : such as CEH-endometritis cannot develop after complete ovariectomy, unless pr : : ogestagens are administered. The results of this study indicate that ovariecto : : my does not increase the risk of CEH-endometritis or other complications in co : : mparison with ovariohysterectomy. It is concluded that there is no indication : : for removing the uterus during routine neutering in healthy bitches. On the co : : ntrary, ovariectomy should be considered the procedure of choice. : : http://europepmc.org/abstract/med/9404289 : 因為以後要很常看原文，所以現在多練習看哈哈， : 翻的有點爛，而且也不一定正確QQ : 如果我有打錯的，請告訴我啊！很多我自己也不太懂是什麼意思， : 很多專有名詞都是直接拜託google大嬸，就大概看一下重點就好了 : ----- : 母狗的卵巢切除術與卵巢子宮切除術長期影響之比較 : 雖然卵巢切除術相較之下較不具侵略性，且耗費時間較少，但大部分的外科課本推薦以卵 : 巢子宮切除術進行母狗的一般絕育。 : 這個建議很可能是建立在使用卵巢切除術後子宮疾病的發展，然而，卻沒有證據顯示像是 : 囊性子宮內膜增生(CEH)-子宮內膜炎這類情況，發展於已結紮(卵巢切除術)的母狗，除非 : 黃體激素被操縱。 : 因此，此研究之目的正是要比較這兩者的長期影響，包括尿失禁的發生率。 : 問卷調查的樣本有264位母狗主人，兩個手術成為通常用法，分別都已經行使8~11年，126 : 個是卵巢切除術，138個是卵巢子宮切除術。 : 完整的資料內包含69隻切除卵巢組的母狗，以及66隻切除卵巢及子宮組的母狗。 : 結果並沒有顯示出子宮內膜炎發生於切除卵巢組的母狗。而這些母狗在結紮後，對公狗都 : 不具有性吸引力。 : 兩組各有兩隻母狗陰部流出白色液體，但這四隻狗在此液體出現的時期，皆無呈現生病。 : 此外，除了尿失禁以外，並沒有發生可以連結到結紮手術的問題。 : 六隻做過卵巢切除術的母狗，以及九隻做過卵巢子宮切除術的母狗，最後罹患了尿失禁。 : 這15隻母狗，約占總數的11%，有12隻體重超過20公斤。 : Bouvier des Flandres品種的母狗，相較於其他品種之下，是罹患尿失禁的高風險群。 : 尿失禁至少可以部分歸因於其他情況，因為其中有八隻罹患尿失禁的狗，年齡皆大於9歲 : 。 : 還有7隻先前已具有多尿症( Polyuria)或多渴症(Polydipsia)。 : 在切除卵巢組及切除子宮卵巢組中，上列之泌尿問題並無明顯差異。 : 據猜測，子宮疾病像是囊性子宮內膜增生(CEH)-子宮內膜炎，在進行完整的卵巢切除術後 : 無法發展，除非黃體激素被操控。 : 此研究之結果顯示卵巢切除術與卵巢子宮切除術相比，並沒有提高罹患囊性子宮內膜增生 : (CEH)-子宮內膜炎或其他併發症的風險。 : 總結而言，健康的母狗中，並沒有在一般結紮手術移除子宮的指示。 : 相較之下，卵巢切除術應當被視為一種手術做法的選擇。 : ------ : 總之，就是只切除卵巢其實不會多讓子宮產生什麼疾病， : 黃體激素我想那個意思應該是，因為黃體激素會造成子宮內膜分泌變化， : 所以如果被操縱的話，就會造成產生變化，進而可能罹患子宮疾病(吧) : 只切除卵巢應該是蠻被推薦的，因為侵略性小，手術也可以進行的快， : 但我還是覺得要有幾個前提： : 1.請找好的獸醫院，不管任何手術都是這樣 : 2.請確定你的狗是健康的，可以接受手術的 : 3.每種手術都有風險，應該謹慎評估後再決定謝謝大家的回覆，解清了我的疑慮，不過我還是堅持兩個都摘除了醫生做完手術給我看摘除的器官因為主人我也擔心非常多家狗是確診心絲蟲成蟲在肺動脈左岸的邱醫師還是血檢評估確認可做手術，且風險小復原快所以決定下去做了昨天做完手術，馬上賞了一點肉醫生說內視鏡手術完可馬上進食雖然我家小妞哀怨的眼神控訴但今天完全正常活蹦亂跳的就像忘了我昨完讓他上手術台雖然噴飛很多錢但看到小妮子他馬上朝氣蓬勃傷口也看似很好，就等第三天傷口復原感覺值得了！謝謝左岸的邱醫師! 也謝謝大家的回覆讓我更清楚了解了！ -- Sent from my Android -- ※ 發信站: 批踢踢實業坊(ptt.cc), 來自: 111.248.186.71 ※ 文章網址: https://www.ptt.cc/bbs/dog/M.1432569142.A.5D8.html

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bigfatzero

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