Künzel Frank, Grinninger Petra, Shibly Sarina, Hassan Jasmin, Tichy Alexander, Berghold Petra, Fuchs-Baumgartinger Andrea
From the Clinic of Internal Medicine and Infectious Diseases (F.K., S.S.), Clinic for Diagnostic Imaging (J.H.), Clinic for Obstetrics, Gynecology and Andrology (P.B.), Institute of Pathology and Forensic Medicine (A.F-B.), and Institute of Medical Physics and Biostatistics, Department of Natural Science (A.T.), University of Veterinary Medicine, Vienna, Austria; Veterinary Practice Eggenberg, Graz, Austria (P.G.).
J Am Anim Hosp Assoc. 2015 Jan-Feb;51(1):8-14. doi: 10.5326/JAAHA-MS-5812. Epub 2014 Nov 21.
Although the incidence of uterine disorders in pet rabbits is high there are only a few retrospective studies and case reports on genital tract disease in female rabbits. Uterine disorders were assessed in 50 pet rabbits. In 31 pet rabbits with suspected clinical uterine disease, medical records were further reviewed regarding clinical signs, diagnostic workup, treatment as well as the outcome itself. Uterine adenocarcinoma (54%) was most frequently diagnosed, followed by endometrial hyperplasia (26%). Serosanguineous vaginal discharge was the predominant clinical sign observed by the rabbit owners. In approximately 50% of the rabbits with suspected uterine disorders, abdominal palpation revealed enlarged and/or irregular masses in the caudoventral abdomen indicating uterine lesions. Out of 23 rabbits undergoing ovariohysterectomy, four were either euthanized or died shortly after surgery because they were clinically unstable. Overall, 80% of the ovariohysterectomized animals were still alive 6 mo after surgery. In female pet rabbits that are not breeding, either ovariohysterectomy should be performed at an early age or routine checks including ultrasonography of the abdomen are recommended on a regular basis.
虽然宠物兔子宫疾病的发病率很高,但关于雌性兔生殖道疾病的回顾性研究和病例报告却很少。对50只宠物兔的子宫疾病进行了评估。在31只疑似患有临床子宫疾病的宠物兔中,进一步查阅了有关临床症状、诊断检查、治疗以及最终结果的医疗记录。最常诊断出的是子宫腺癌(54%),其次是子宫内膜增生(26%)。血性阴道分泌物是兔主人观察到的主要临床症状。在大约50%疑似子宫疾病的兔子中,腹部触诊发现腹尾侧有肿大和/或不规则肿块,提示子宫病变。在接受卵巢子宫切除术的23只兔子中,有4只因临床状况不稳定在术后不久被安乐死或死亡。总体而言,80%接受卵巢子宫切除术的动物在术后6个月仍然存活。对于不繁殖的雌性宠物兔,要么在幼年时进行卵巢子宫切除术,要么建议定期进行包括腹部超声检查在内的常规检查。