Zulauf M, Steiner A
Wiederkäuerklinik, Departement für klinische Veterinärmedizin, Universität Bern.
Schweiz Arch Tierheilkd. 2001 Dec;143(12):593-600.
Teat obstructions cause considerable financial loss in dairy industry. Recently, progress in teat surgery was made by the use of minimal invasive surgical instrumentation. The technique of theloresectoscopy as well as short- and long-term results of this surgical intervention are presented in this study. The clinical reports of 15 dairy cows with distal teat obstructions operated with the theloresectoscope between May 1999 and January 2000 at the clinic for ruminants, Department of clinical veterinary medicine, University of Berne were reviewed. Data collected by telephone conversation with the owners included: somatic cell count and milk flow at machine milking during the lactation of surgery (lactation 1), as well as during the lactation following surgery (lactation 2). Eighty-seven percent of the owners reported normal milk flow during lactation 1 and 93% during lactation 2. Considering the fact that only 46.7% of the cows showed negative results in the California mastitis test (CMT) during lactation 1, many owners reported a high somatic cell count being a disadvantage of this surgical technique. Normal (negative) CMT results during lactation 2, however, were reported by 80% of the owners. Isolation of Staphylococcus aureus explained the high somatic cell count in 2 of 15 cases. In conclusion, theloresectoscopy is a valuable minimal invasive surgical technique that can be fully recommended for treatment of distal teat obstructions in dairy cows.
乳头阻塞给乳制品行业造成了巨大的经济损失。最近,通过使用微创外科器械,乳头手术取得了进展。本研究介绍了乳头切除术的技术以及该手术干预的短期和长期结果。回顾了1999年5月至2000年1月期间,在伯尔尼大学临床兽医学系反刍动物诊所,使用乳头切除镜对15头患有远端乳头阻塞的奶牛进行手术的临床报告。通过与奶牛主人电话交谈收集的数据包括:手术泌乳期(泌乳1期)以及手术后泌乳期(泌乳2期)机器挤奶时的体细胞计数和奶流情况。87%的主人报告泌乳1期奶流正常,泌乳2期为93%。考虑到只有46.7%的奶牛在泌乳1期加利福尼亚乳房炎检测(CMT)结果为阴性,许多主人报告体细胞计数高是这种手术技术的一个缺点。然而,80%的主人报告泌乳2期CMT结果正常(阴性)。在15例病例中的2例中,金黄色葡萄球菌的分离解释了体细胞计数高的原因。总之,乳头切除术是一种有价值的微创外科技术,完全可推荐用于治疗奶牛的远端乳头阻塞。