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健康犬进行卵巢子宫切除术或卵巢切除术的手术变量及术后短期并发症比较。

Comparison of surgical variables and short-term postoperative complications in healthy dogs undergoing ovariohysterectomy or ovariectomy.

作者信息

Peeters Marijke E, Kirpensteijn Jolle

机构信息

Department of Clinical Sciences of Companion Animals, Faculty of Veterinary Medicine, Utrecht University, 3508 TD Utrecht, The Netherlands.

出版信息

J Am Vet Med Assoc. 2011 Jan 15;238(2):189-94. doi: 10.2460/javma.238.2.189.

Abstract

OBJECTIVE

To determine whether ovariohysterectomy (OVH) required more time to complete and was associated with more short-term postoperative complications than ovariectomy (OVE) in dogs.

DESIGN

Randomized prospective clinical trial.

ANIMALS

40 healthy, sexually intact female dogs.

PROCEDURES

OVH (in 20 dogs) or OVE (20 dogs) was performed by use of standardized anesthetic and surgical protocols. Physical characteristics of the dogs, surgical variables, pain scores derived from behavior-based composite pain scales, and surgical wound characteristics were analyzed.

RESULTS

Body weight, age, body condition score, and distance between the sternal manubrium and the pubic rim were comparable among dogs that underwent either surgical procedure. Body weight was positively correlated with the total duration of the procedure and with time required for closure of the surgical wound. No effect of body condition score was determined for any variable. Skin and fascia incision lengths relative to the distance from the sternal manubrium to pubic rim were significantly greater in dogs that underwent OVH, compared with those of dogs that underwent OVE, but total surgical time was not different for the 2 procedures. No other significant differences were detected between the 2 groups.

CONCLUSIONS AND CLINICAL RELEVANCE

Significant differences in total surgical time, pain scores, and wound scores were not observed between dogs that underwent OVH and dogs that underwent OVE via standardized protocols.

摘要

目的

确定在犬类中,卵巢子宫切除术(OVH)是否比卵巢切除术(OVE)需要更长时间完成且与更多短期术后并发症相关。

设计

随机前瞻性临床试验。

动物

40只健康、未绝育的雌性犬。

步骤

采用标准化麻醉和手术方案对20只犬实施OVH,对另外20只犬实施OVE。分析犬的身体特征、手术变量、基于行为的综合疼痛量表得出的疼痛评分以及手术伤口特征。

结果

接受两种手术的犬在体重、年龄、身体状况评分以及胸骨柄与耻骨联合之间的距离方面具有可比性。体重与手术总时长以及手术伤口闭合所需时间呈正相关。未确定身体状况评分对任何变量有影响。与接受OVE的犬相比,接受OVH的犬相对于胸骨柄至耻骨联合距离的皮肤和筋膜切口长度显著更长,但两种手术的总手术时间并无差异。两组之间未检测到其他显著差异。

结论及临床意义

通过标准化方案,接受OVH的犬与接受OVE的犬在总手术时间、疼痛评分和伤口评分方面未观察到显著差异。

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