Gordon Sebastian S N, McClaran Janet K, Bergman Philip J, Liu Serena M
Veterinary Surgical Centers, Vienna, VA, USA.
J Feline Med Surg. 2010 Apr;12(4):256-61. doi: 10.1016/j.jfms.2009.09.005. Epub 2010 Feb 13.
No studies have yet examined whether there are prognostic factors for survival for cats undergoing splenectomies. The medical records of 19 cats that had complete splenectomy were reviewed for information on preoperative, intraoperative, and postoperative factors. The most common presenting signs were a palpable abdominal mass in 58% and anorexia in 47% of the cats. Mast cell tumors were the most common reason for splenectomy and were found in 10/19 cats (53%); followed by hemangiosarcoma in 4/19 (21%); and lymphoma in 2/19 (11%). The Kaplan-Meier median survival time (MST) was 197 days, with a range from 2 days to 1959 days. Three cats were noted to have preoperative weight loss, and this was the only factor that had prognostic significance for survival following surgery. For cats with weight loss the MST was 3 days, for cats with no weight loss noted the MST was 293 days (P=0.008).
尚无研究探讨接受脾切除术的猫的生存预后因素。回顾了19只接受完全脾切除术的猫的病历，以获取术前、术中和术后因素的信息。最常见的症状是58%的猫可触及腹部肿块，47%的猫出现厌食。肥大细胞瘤是脾切除术最常见的原因，在10/19只猫（53%）中发现；其次是血管肉瘤，4/19只（21%）；淋巴瘤2/19只（11%）。Kaplan-Meier中位生存时间（MST）为197天，范围为2天至1959天。3只猫术前体重减轻，这是术后生存唯一具有预后意义的因素。体重减轻的猫的MST为3天，未发现体重减轻的猫的MST为293天（P=0.008）。
