Swiderski Jennifer K, Seim Howard B, MacPhail Catriona M, Campbell Terry W, Johnston Matthew S, Monnet Eric
Department of Clinical Sciences, College of Veterinary Medicine and Biomedical Sciences, Colorado State University, Fort Collins, CO 80523, USA.
J Am Vet Med Assoc. 2008 May 1;232(9):1338-43. doi: 10.2460/javma.232.9.1338.
To determine the long-term survival rate and factors that affect survival time of domestic ferrets treated surgically for hyperadrenocorticism.
Retrospective case series.
130 ferrets with hyperadrenocorticism that were treated surgically.
Medical records of ferrets surgically treated for hyperadrenocorticism were reviewed. Data recorded included signalment, duration of clinical signs prior to hospital admission, CBC values, serum biochemical analysis results, anesthetic time, surgical time, concurrent diseases, adrenal gland affected (right, left, or both [bilateral]), histopathologic diagnosis, surgical procedure, caudal vena caval involvement (yes or no), postoperative melena (yes or no), days in hospital after surgery, and whether clinical signs of hyperadrenocorticism developed after surgery.
130 ferrets were entered in the study (11 of 130 ferrets were admitted and underwent surgery twice). The 1- and 2-year survival rates were 98% and 88%, respectively. A 50% survival rate was never reached. Combined partial adrenal gland resection with cryosurgery had a significantly negative effect on survival time. No other risk factors were identified. Survival time was not significantly affected by either histopathologic diagnosis or specific affected adrenal gland (right, left, or bilateral).
Ferrets with adrenal gland masses that were treated surgically had a good prognosis. Survival time of ferrets with hyperadrenocorticism undergoing surgery was not affected by the histologic characteristic of the tumor, the adrenal glands affected (right, left, or bilateral), or complete versus partial adrenal gland resection. Debulking was a sufficient surgical technique to allow a favorable long-term outcome when complete excision was not possible.
确定接受手术治疗的肾上腺皮质功能亢进家养雪貂的长期存活率以及影响存活时间的因素。
回顾性病例系列研究。
130只接受手术治疗的肾上腺皮质功能亢进雪貂。
回顾接受肾上腺皮质功能亢进手术治疗雪貂的病历。记录的数据包括特征、入院前临床症状持续时间、血常规值、血清生化分析结果、麻醉时间、手术时间、并发疾病、受累肾上腺(右侧、左侧或双侧)、组织病理学诊断、手术方式、尾腔静脉受累情况(是或否)、术后黑粪症(是或否)、术后住院天数以及术后是否出现肾上腺皮质功能亢进的临床症状。
130只雪貂纳入研究(130只中有11只入院并接受了两次手术)。1年和2年存活率分别为98%和88%。从未达到50%的存活率。联合部分肾上腺切除术与冷冻手术对存活时间有显著负面影响。未发现其他风险因素。存活时间不受组织病理学诊断或特定受累肾上腺(右侧、左侧或双侧)的显著影响。
接受手术治疗的肾上腺肿块雪貂预后良好。接受手术的肾上腺皮质功能亢进雪貂的存活时间不受肿瘤组织学特征、受累肾上腺(右侧、左侧或双侧)或肾上腺全切除与部分切除的影响。当无法完全切除时,减瘤手术是一种足以获得良好长期效果的手术技术。