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三种爪切除术方法的比较。

Comparison of 3 methods of onychectomy.

作者信息

Clark Kyle, Bailey Trina, Rist Paul, Matthews Andrea

机构信息

Department of Companion Animals, Atlantic Veterinary College, University of Prince Edward Island, Charlottetown, Prince Edward Island C1A 4P3.

出版信息

Can Vet J. 2014 Mar;55(3):255-62.

Abstract

The frequency of claw regrowth, bony remnants, and complications in cats that underwent forelimb onychectomy using laser, scalpel, or guillotine techniques were evaluated. Eighty-seven client-owned cats were recruited from 27 veterinary clinics in the Canadian Atlantic provinces. At least 1 year after onychectomy the cats underwent a physical examination, gait analysis, and radiographic evaluation by 1 of 2 authors. There was no significant difference in the frequency of claw regrowth among the 3 methods (P = 0.283). Significantly more cats had bony remnants following guillotine onychectomy (P < 0.001). Bony remnants were significantly associated with claw regrowth (P = 0.001). Cats that underwent laser onychectomy had significantly less post-operative complications (P = 0.023). The long-term outcome was not significantly different among the 3 methods. We conclude that leaving remnants of the third phalanx in situ is associated with an increased frequency of claw regrowth. Laser onychectomy may be preferred to reduce the risk of post-operative complications, bony remnants, and claw regrowth.

摘要

对采用激光、手术刀或断头术进行前肢爪切除的猫的爪再生频率、骨残余及并发症情况进行了评估。从加拿大东部沿海省份的27家兽医诊所招募了87只客户拥有的猫。爪切除术后至少1年,由两名作者之一对这些猫进行体格检查、步态分析和影像学评估。三种方法的爪再生频率无显著差异(P = 0.283)。断头术爪切除术后有骨残余的猫显著更多(P < 0.001)。骨残余与爪再生显著相关(P = 0.001)。接受激光爪切除术的猫术后并发症显著更少(P = 0.023)。三种方法的长期结果无显著差异。我们得出结论,保留第三趾骨原位残余与爪再生频率增加有关。激光爪切除术可能更可取,以降低术后并发症、骨残余和爪再生的风险。

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