接受开放式和封闭式睾丸切除术的健康犬术后并发症的比较。

Comparison of postoperative complications in healthy dogs undergoing open and closed orchidectomy.

作者信息

Hamilton K H, Henderson E R, Toscano M, Chanoit G P

机构信息

School of Clinical Veterinary Sciences, University of Bristol, Langford, BS40 5DU.

出版信息

J Small Anim Pract. 2014 Oct;55(10):521-6. doi: 10.1111/jsap.12266. Epub 2014 Sep 12.

DOI:10.1111/jsap.12266

PMID:25213621

Abstract

OBJECTIVE

To compare closed and open orchidectomy in dogs and the associated complications.

METHODS

A randomised controlled blinded prospective clinical study of 73 cases was undertaken involving the recording of all complications during and in the 10 days following orchidectomy of dogs fulfilling the standardised inclusion criteria. The active variable was the surgical technique of either open or closed orchidectomy.

RESULTS

Dogs undergoing open orchidectomy experienced significantly more complication events than the dogs undergoing closed orchidectomy [24 of 34 (70%) versus 18 of 39 (46%), P = 0 · 04]. Dogs undergoing open orchidectomy were statistically more likely to develop scrotal complications (21 of 34, 61%) compared with dogs undergoing closed orchidectomy (13 of 39, 33%; P = 0 · 02).

CLINICAL SIGNIFICANCE

Open orchidectomy is associated with a higher overall complication rate in the first 10 days after surgery than closed orchidectomy. Open orchidectomy is also associated with increased scrotal complications including swelling, bruising and pain compared with closed orchidectomy.

摘要

目的

比较犬开放式与封闭式睾丸切除术及相关并发症。

方法

对73例犬进行随机对照双盲前瞻性临床研究，记录符合标准化纳入标准的犬在睾丸切除术中及术后10天内的所有并发症。主动变量为开放式或封闭式睾丸切除术的手术技术。

结果

接受开放式睾丸切除术的犬比接受封闭式睾丸切除术的犬经历的并发症事件明显更多[34例中的24例（70%）对39例中的18例（46%），P = 0.04]。与接受封闭式睾丸切除术的犬（39例中的13例，33%；P = 0.02）相比，接受开放式睾丸切除术的犬发生阴囊并发症的统计学可能性更高（34例中的21例，61%）。