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对台湾猕猴(食蟹猕猴)进行绝育的内镜输卵管切除术评估。

Evaluation of endoscopic salpingectomy for sterilization of female Formosan macaques (Macaca cyclopis).

作者信息

Yu Pin-Huan, Weng Chia-Chun, Kuo Hung-Chih, Chi Chau-Hwa

机构信息

National Taiwan University, Taipei City, Taiwan.

出版信息

Am J Primatol. 2015 Apr;77(4):359-67. doi: 10.1002/ajp.22354. Epub 2014 Nov 18.

Abstract

We evaluated the safety and postsurgical outcomes of endoscopic salpingectomy for sterilization of female Formosan macaques (Macaca cyclopis) as a method of population control. Nineteen adult female Formosan macaques were included in our study. The fallopian tubes of each anesthetized macaque were cauterized and excised endoscopically using a 2.7-mm rigid endoscope system. We recorded the complications encountered, and objectively scored the amount of hemorrhage throughout the procedure. Postoperative ovarian function was evaluated by monitoring the serum levels of sex hormones in ten of the macaques for two ovarian cycles following the salpingectomy. Two to 13 months later, eight of the 19 macaques underwent laparoscopy for the objective evaluation of inflammation at the surgical sites on the fallopian tubes. No major anesthetic- or surgical-associated complications were observed in any of the macaques. The hormonal evaluation showed cyclic ovarian function after salpingectomy in all of the ten macaques examined, and the parameters were comparable to those of other macaque species. The long-term postoperative level of inflammation at the surgical site was minimal to low, and was lower than that reported for other tubal occlusion techniques used in macaques. The use of a 2.7-mm rigid endoscope for salpingectomy in macaques is safe and efficient, with fewer postoperative complications than comparable sterilization techniques.

摘要

我们评估了内窥镜输卵管切除术作为一种群体控制方法,用于对台湾猕猴(食蟹猕猴)进行绝育的安全性和术后结果。我们的研究纳入了19只成年雌性台湾猕猴。使用2.7毫米硬式内窥镜系统,对每只麻醉后的猕猴的输卵管进行烧灼和内窥镜切除。我们记录了术中遇到的并发症,并对整个手术过程中的出血量进行客观评分。在输卵管切除术后的两个卵巢周期内,通过监测其中10只猕猴的血清性激素水平来评估术后卵巢功能。2至13个月后,对19只猕猴中的8只进行了腹腔镜检查,以客观评估输卵管手术部位的炎症情况。所有猕猴均未观察到任何与麻醉或手术相关的重大并发症。激素评估显示,在接受检查的所有10只猕猴中,输卵管切除术后卵巢功能呈周期性,且各项参数与其他猕猴物种相当。手术部位术后长期炎症水平极低,低于猕猴中使用的其他输卵管阻塞技术所报告的水平。在猕猴中使用2.7毫米硬式内窥镜进行输卵管切除术是安全有效的,与类似的绝育技术相比,术后并发症更少。

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