- 期刊
A Retrospective Study on Canine Pyometra and Hydrometra in Central Taiwan
台灣中部地區犬子宮積膿症及積水症病例探討
摘要
台灣中部地區100個子宮積膿及積水病例中，不完全子宮摘除術誘發子宮積水症佔6%、帝王切開術併發子宮蓄膿症佔1%、先天性子宮角異常引起子宮積膿症佔2%、殘餘子宮積膿症佔1%、自然發生病例佔90%。資料收集依患犬品種、年齡、發情後之週數、臨床症狀、血液分析、病原菌分離、超音波及病理學檢查進行分析。100個子宮積膿病例其中97個分離出病原菌。77%（77/100）為E. coli，4%為Citrobacter, Salmonella, Streptococcus, Klebsiella和Staphylococcus各佔3%（3/100），Pseudomonas和Proteus各佔2%（2/100）。超音波診斷子宮蓄膿症可見雙側子宮含低回音物質和少量高回音物質。肉眼可見兩個側子宮角明顯膨大，子宮內膜水腫、充出血。組織學檢查可見子宮內膜充出血及慢性炎症細胞侵入。超音波診斷子宮積水症可見雙側子宮含低回音物質。肉眼可見子宮內容物澄清透明，子宮內膜正常，組織學檢查可見子宮內膜正常且無炎症細胞侵入。子宮積膿或積水症以彩色都卜勒超音波檢查，可見子宮角有血流供應，但殘留子宮積膿症之子宮角並無血流供應。
並列摘要
The 100 cases in this study include 6% (6/100) malpractice hysterectomy-induced hydrometra, 1% (1/100) C-section with pyometra complication , 2% (2/100) innate abnormality of uterine horns, 1% (1/100) stump pyometra and 90% (90/100) general pyometra. Data collected from records included breed, age, time since last estrous cycle, clinical signs, blood analysis, bacteriologic examination, ultrasonography and pathologic examination. Bacteria were isolated from 97% (97/100) of the specimens; Escherichia coli was isolated from 77 specimens, Citrobacter sp from four. Salmonella sp, Streptococcus sp, Klebsiella sp and Staphylococcus sp from three; as well as Pseudomonas sp and Proteus sp from two. Ultrasound diagnosis of dogs with pyometra showed that both utreine horns contained hypoechoic materials and some hyperechoic materials. Both uterine horns were significantly enlarged. Congestion, hyperemia and edema were seen in the endometrium of both uterine horns. Histological examination of uterine horns showed congestion, hyperemia and chronic inflammatory cells infiltration. The ultrasound diagnosis of dogs with hydrometra showed that both uterine horns contained hypoechoic materials. Transparent fluid was found in the uterus. The endometrium of uterine horns was normal. Histological examination of uterine horns showed that the endometrium was normal and there was no inflammatory cell infiltration. The uterine horns of dogs with pyometra or hydrometra had blood supply revealed by color Doppler diagnostic ultrasound examination. However, no blood supply was found with stump pyometra.