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细针抽吸 (FNA) 和穿刺次数对猫睾丸的影响:临床、大体解剖和组织学评估。

Impact of fine needle aspiration (FNA) and of the number of punctures on the feline testis: clinical, gross anatomy and histological assessment.

机构信息

Clinic of Obstetrics and Reproduction, Faculty of Veterinary Medicine, University of Thessaly, Karditsa, Greece.

出版信息

Theriogenology. 2012 Jul 1;78(1):172-81. doi: 10.1016/j.theriogenology.2012.01.034. Epub 2012 Mar 22.

Abstract

The safety of testicular fine needle aspiration (FNA) has been proven in dogs but has not been fully established in men, while studies in rats have given contradictory results. Furthermore, the extent of damage inflicted by multiple punctures is unknown. The aim of this study was to determine the impact of FNA and of the number of punctures on the feline testis with clinical, gross anatomy and histological examinations. Twenty-seven sexually mature healthy laboratory Domestic Shorthair cats were randomly assigned to two groups: 5 cats in which no FNA was performed (control group), and 22 cats which had their left and right testis punctured with a 26 ga needle towards 3 and 8 directions, respectively (experimental group). Two cats at a time were orchiectomized 5 or 30 min, 1, 2, 4, 7 or 14 days or 1, 2, 3 or 4 mo post-aspiration. The cats of the control group were also orchiectomized. During the first week post-aspiration clinical examination revealed vaginal cavity hematoma (8/44 testes), while the histological findings were focal hemorrhagic areas (20/24 testes), erythrocytes inside the seminiferous tubules' lumen (9/24 testes), and germinal cell degeneration in <1.94% of the seminiferous tubules (15/24 testes). After the first week the histological findings were germinal cell degeneration in <2.14% of the seminiferous tubules (19/20 testes) and enlargement of the lumen of <5.16% of the seminiferous tubules (7/20 testes). The germinal epithelium and interstitium had an overall normal appearance. No significant differences were observed between the left and right testis. The results of the study indicate that testicular FNA should be considered a safe procedure in the cat when up to 8 punctures are performed.

摘要

睾丸细针抽吸(FNA)的安全性已在犬中得到证实,但尚未在男性中得到充分证实,而大鼠的研究结果则存在矛盾。此外,多次穿刺造成的损伤程度尚不清楚。本研究旨在通过临床、大体解剖和组织学检查确定 FNA 及穿刺次数对猫睾丸的影响。27 只性成熟健康的实验室家养短毛猫被随机分为两组:5 只未进行 FNA 的猫(对照组),22 只猫的左右睾丸分别用 26 号针头向 3 个和 8 个方向穿刺(实验组)。每次 2 只猫同时进行睾丸切除术,分别在抽吸后 5 或 30 分钟、1、2、4、7 或 14 天或 1、2、3 或 4 个月时进行。对照组的猫也进行了睾丸切除术。抽吸后第一周的临床检查显示阴道腔血肿(8/44 个睾丸),组织学检查结果为局灶性出血区(20/24 个睾丸)、生精小管管腔中有红细胞(9/24 个睾丸),以及<1.94%的生精小管发生精原细胞退化(15/24 个睾丸)。第一周后,组织学检查结果为<2.14%的生精小管发生精原细胞退化(19/20 个睾丸)和<5.16%的生精小管管腔扩张(7/20 个睾丸)。生殖上皮和间质总体外观正常。左右睾丸之间未观察到显著差异。研究结果表明,在猫中,当进行多达 8 次穿刺时,睾丸 FNA 可被视为一种安全的操作。

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