Mison Michael B, Bohart George H, Walshaw Richard, Winters Cathy A, Hauptman Joe G
Department of Small Animal Clinical Sciences, College of Veterinary Medicine, Michigan State University, East Lansing 48824, USA.
J Am Vet Med Assoc. 2002 Sep 1;221(5):651-3. doi: 10.2460/javma.2002.221.651.
To compare postoperative signs of discomfort and complications associated with use of CO2 laser for onychectomy with those of the scalpel technique in cats.
Prospective, randomized, masked clinical trial.
20 client-owned cats.
Forelimb feet (right, left) were randomly assigned to laser and scalpel treatment groups. Signs of discomfort (lameness and signs of pain) and complications (hemorrhage, swelling, and discharge) were assessed on days 0, 1, and 7. Surgeries were performed by 1 experienced surgeon. Evaluations were performed by 2 individuals without knowledge of treatment group. Signs of discomfort and complications were scored on scales of 0 to 8 and 0 to 9, respectively.
Onychectomy did not result in high discomfort or complication scores 1 day after surgery, regardless of technique used, although the laser-treated group had significantly lower scores for signs of discomfort and complications. Seven days after surgery, significant differences were not detected between groups for signs of discomfort or complications.
The CO2 laser can be an excellent tool for onychectomy in cats, with excellent hemostasis and minimal postoperative discomfort and complications. Differences in discomfort and complications between groups treated via scalpel versus CO2 laser were not clinically relevant and were only observed 1 day after surgery.
比较猫使用二氧化碳激光进行爪切除术与手术刀技术术后不适体征及并发症。
前瞻性、随机、盲法临床试验。
20只客户拥有的猫。
前肢爪(右、左)随机分为激光治疗组和手术刀治疗组。在第0、1和7天评估不适体征(跛行和疼痛体征)和并发症(出血、肿胀和分泌物)。手术由1名经验丰富的外科医生进行。评估由2名不了解治疗组情况的人员进行。不适体征和并发症分别按0至8分和0至9分进行评分。
无论采用何种技术,爪切除术后1天均未导致高度不适或并发症评分,尽管激光治疗组的不适体征和并发症评分显著较低。术后7天,两组在不适体征或并发症方面未检测到显著差异。
二氧化碳激光可成为猫爪切除术的极佳工具,具有出色的止血效果,术后不适和并发症极少。手术刀治疗组与二氧化碳激光治疗组在不适和并发症方面的差异无临床相关性,且仅在术后1天观察到。