母狗結紮只摘卵巢? - 狗

※ 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！

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