- 期刊
病例報告：犬、貓絕育手術後長期併發症之回溯研究
Case Report: Retrospective Study of Long-term Complications after Spay Surgery in Dogs and Cats
摘要
犬貓之外科絕育手術有輸卵管切除街、輸卵管結紮術、卵巢摘除術、子宮摘除術和子宮卵巢摘除術，其中以子宮卵巢摘除術的術後併發症最少也最為廣泛應用，不完全或不當的子宮卵巢摘除往往對病畜產生後遺症。收集自1996年7月至2001年12月送至台灣大學農學院附設動物醫院以及台北市亞太動物醫療中心，因不完全或不當絕育手術引起的併發症共30個病例中，包括25例犬及5例貓進行回溯研究。病畜以臨床症狀及術中發現加以探討，結果發現台灣地區因不當或錯誤之絕育手術引起長期併發症發生之時間為術後1.5個月至10年不等，最常發生者為雙側卵巢組織之存留，其次為局部腹膜炎症所引起之腹腔沾黏，其餘尚有子宮蓄膿、膿腎、體外廔管、卵巢顆粒細胞瘤等。本研究顯示犬貓絕育手術進行時的無菌技術、線材的使用、器械的清潔對病畜術後的恢復扮演重要角色，而殘留之卵巢及子宮組織亦可能引起嚴重之併發症。
並列摘要
Ovariohysterectomy is the recommended approach to surgically sterilize female dogs and cats. Incompletely or inappropriately performed spay surgery, with includs tubal ligation, ovariectomy, salpingectomy, or partial hysterectomy, will result in long term complications. A total of 30 clinical cases including 25 dogs and 5 cats presented to the National Taiwan University Animal Hospital and Asia Pacific Animal Surgical Center from July 1996 to December 2001 were studied. Clinical signs and findings during exploratory surgery were used to describe these cases. Complications occurred from 1.5 months to 10 years after spay surgery. Abdominal visceral adhesion caused by peritonitis was the most common condition. Other complications include pyometra, pyonephrosis, fistula formation, and granulosa cell tumor. Retained bilateral ovary tissues were found in most patients. This study indicates aseptic techniques, appropriate and clean suture materials and surgical tools play important roles on spay surgery. Retained ovary and uterus tissues may also induce severe complications.
延伸閱讀
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