母狗結紮只摘卵巢? - 狗

※ 引述《pooh1984 (Joanne)》之銘言：
: 來到中和左岸的微創手術進行結紮，
: 醫生告知結紮只會拿掉卵巢，
: 讓子宮自行萎縮
: 是這樣嗎？
: 我查資料怎麼都是要兩個一起拿?
: 可以請大家告訴我正確的結紮方式嗎？

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




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