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牛经睑眶内容剜除术:115例回顾性研究

Transpalpebral exenteration in cattle: a retrospective study of 115 cases.

作者信息

Chigerwe Munashe, Angelos John A, Gamsjäeger Lisa, Heller Meera C

机构信息

Department of Veterinary Medicine and Epidemiology, School of Veterinary Medicine, University of California Davis, One Shields Avenue, Davis, CA, 95616, USA.

William R. Pritchard Veterinary Medical Teaching Hospital, School of Veterinary Medicine, University of California Davis, One Shields Avenue, Davis, CA, 95616, USA.

出版信息

Vet Ophthalmol. 2017 Sep;20(5):435-440. doi: 10.1111/vop.12446. Epub 2016 Nov 24.

Abstract

OBJECTIVE

To describe the indications for exenteration and complications associated with the procedure.

ANIMALS STUDIED

115 cattle.

PROCEDURES

Medical records of cattle presented for unilateral exenteration evaluated at the University of California, Davis Veterinary Medical Teaching Hospital from January 1985 through December 2015 were reviewed.

RESULTS

Median (range) age at presentation for all cattle was 6 (0.2-30) years. The most prevalent (80.9%) indication for exenteration was squamous cell carcinoma (SCC). Cattle >5 years had higher odds (OR = 11.2, 95% CI, 2.8-45.8) for undergoing exenteration due to SCC compared to cattle ≤5 years. Herefords had higher odds (OR = 4.6, 95% CI, 1.5-14.6) for undergoing exenteration for SCC compared to other breeds. Holsteins had higher odds (OR = 140.7, 95% CI, 7.5-2644) for undergoing exenteration for retrobulbar lymphoma compared to other breeds. Complications following exenteration were reported in 15 cases (13.0%). The postsurgical complications were orbital abscesses (6/15), recurrence of SCC (5/15), wound dehiscence (3/15), and excessive hemorrhage (1/15). Median (range) time to occurrence of postsurgical complications was 19 (5-205) days. There was no significant association (P > 0.05) between ocular diagnosis, age, anesthetic technique or the suture pattern used to close the skin postsurgically, and occurrence of postsurgical complications.

CONCLUSIONS

Early clinical diagnosis of SCC by owners and veterinarians may prevent the need for exenteration. Owners should be made aware of the possible postsurgical complications following exenteration in cattle.

摘要

目的

描述眼球摘除术的适应证及该手术相关的并发症。

研究动物

115头牛。

方法

回顾了1985年1月至2015年12月在加利福尼亚大学戴维斯分校兽医教学医院接受单侧眼球摘除术评估的牛的病历。

结果

所有牛就诊时的中位(范围)年龄为6(0.2 - 30)岁。眼球摘除术最常见(80.9%)的适应证是鳞状细胞癌(SCC)。与年龄≤5岁的牛相比,年龄>5岁的牛因SCC接受眼球摘除术的几率更高(OR = 11.2,95% CI,2.8 - 45.8)。与其他品种相比,赫里福德牛因SCC接受眼球摘除术的几率更高(OR = 4.6,95% CI,1.5 - 14.6)。与其他品种相比,荷斯坦奶牛因球后淋巴瘤接受眼球摘除术的几率更高(OR = 140.7,95% CI,7.5 - 2644)。15例(13.0%)报告了眼球摘除术后的并发症。术后并发症为眼眶脓肿(6/15)、SCC复发(5/15)、伤口裂开(3/15)和大出血(1/15)。术后并发症发生的中位(范围)时间为19(5 - 205)天。眼部诊断、年龄、麻醉技术或术后皮肤缝合方式与术后并发症的发生之间无显著相关性(P > 0.05)。

结论

主人和兽医对SCC的早期临床诊断可能避免眼球摘除术的必要性。应让主人了解牛眼球摘除术后可能出现的并发症。

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