Fukuyama Yasuhiro, Kawarai Shinpei, Tezuka Tetsushi, Kawabata Atsushi, Maruo Takuya
a Veterinary Teaching Hospital , Azabu University , Sagamihara , Kanagawa , Japan.
b Takashimadaira Tezuka Animal Hospital , Tokyo , Japan.
Vet Q. 2016 Sep;36(3):176-82. doi: 10.1080/01652176.2015.1130880. Epub 2016 Feb 1.
In veterinary medicine, the management of malignant skin wounds is highly challenging. We conducted a study on seven case animals (four dogs and three cats) which presented with malignant skin wounds. All seven animals had signs and symptoms which were controlled following treatment with a modified Mohs paste. Upon obtaining informed consent from their owners, the animals requiring management of malignant wounds were enrolled in this study. The modified Mohs paste was prepared by mixing zinc chloride, zinc oxide starch powder, glycerin, and distilled water. The modified Mohs paste was topically applied to and left to remain on the malignant wounds for one hour, under controlled conditions. Once the paste was removed, the wounds were irrigated with a solution of sterile saline. At the first examination, the wounds of each animal were observed for signs of exudate, malodor, and bleeding. In every case, visible improvement was observed immediately after the modified Mohs paste treatment. Specifically, the size of the malignant wounds, and the number of times the dressing gauze required changing, significantly decreased (p < 0.05 and p < 0.01, respectively). The open malignant skin wounds caused by mammary gland tumors disappeared in two cases. The Mohs paste has been shown to be a viable option for the palliative treatment in canine and feline malignant skin wound management.
在兽医学中,恶性皮肤伤口的处理极具挑战性。我们对七只患有恶性皮肤伤口的病例动物(四只狗和三只猫)进行了一项研究。所有七只动物的体征和症状在使用改良的莫氏糊剂治疗后均得到了控制。在获得动物主人的知情同意后,需要处理恶性伤口的动物被纳入了本研究。改良的莫氏糊剂是通过将氯化锌、氧化锌淀粉粉末、甘油和蒸馏水混合制备而成的。在可控条件下,将改良的莫氏糊剂局部涂抹在恶性伤口上并保持一小时。一旦去除糊剂,伤口用无菌生理盐水溶液冲洗。在首次检查时,观察每只动物伤口的渗出物、恶臭和出血迹象。在每种情况下,改良的莫氏糊剂治疗后立即观察到明显改善。具体而言,恶性伤口的大小以及换药纱布所需更换的次数均显著减少(分别为p < 0.05和p < 0.01)。两例由乳腺肿瘤引起的开放性恶性皮肤伤口消失。莫氏糊剂已被证明是犬猫恶性皮肤伤口处理中姑息治疗的一种可行选择。