Hayashi Ayne Murata, Rosner Sandra Aparecida, de Assumpção Thais Cristine Alves, Stopiglia Angelo João, Matera Julia Maria
Department of Surgery, Small Animal Surgery Services, Veterinary Hospital, School of Veterinary Medicine and Animal Science, University of São Paulo (FMVZ/USP), Sao Paulo, Brazil.
Department of Surgery, Small Animal Surgery Services, Veterinary Hospital, School of Veterinary Medicine and Animal Science, University of São Paulo (FMVZ/USP), Sao Paulo, Brazil.
Top Companion Anim Med. 2016 Dec;31(4):130-133. doi: 10.1053/j.tcam.2016.10.004. Epub 2016 Nov 14.
Retrospective study based on data extracted from medical records of dogs diagnosed with perineal hernia between 2009 and 2014; medical records of bitches were selected for further analysis to determine the prevalence of perineal hernias in bitches and to investigate potential comorbidities. Perineal hernia was diagnosed in 182 dogs (174 males and 8 females; 96% and 4%, respectively). Surgical correction was performed in 6 bitches. Surgical procedures corresponded to internal obturator muscle transposition with or without polypropylene mesh reinforcement (n = 5) and semitendinosus muscle transposition flap (n = 1). Major comorbidities associated with perineal hernias in adult bitches were trauma (n = 3; 7.3 ± 1.5 years; 7.1 ± 8.5kg) and persistent cough secondary to conditions such as bronchitis, tracheal collapse, and cardiopathy in aged, small-sized patients (n = 3; 13.6 ± 2.0 years; 2.3 ± 0.1kg). Perineal hernias are uncommon in bitches and tend to be associated with comorbidities in these patients. Aged female dogs suffering from uncontrolled chronic cough secondary to cardiopathy or bronchitis are at risk of developing perineal hernia. Previous trauma to the pelvis is another potential risk factor for perineal hernia development in female dogs.
本研究为回顾性研究,基于2009年至2014年间诊断为会阴疝的犬只病历数据;选取母犬的病历进行进一步分析,以确定母犬会阴疝的患病率,并调查潜在的合并症。182只犬被诊断为会阴疝(174只为雄性,8只为雌性;分别占96%和4%)。6只母犬接受了手术矫正。手术方式包括带或不带聚丙烯网片加强的闭孔内肌移位术(n = 5)和半腱肌移位皮瓣术(n = 1)。成年母犬会阴疝相关的主要合并症为创伤(n = 3;年龄7.3 ± 1.5岁;体重7.1 ± 8.5kg)以及老年小型犬因支气管炎、气管塌陷和心脏病等疾病继发的持续性咳嗽(n = 3;年龄13.6 ± 2.0岁;体重2.3 ± 0.1kg)。会阴疝在母犬中并不常见,且这些病犬往往伴有合并症。患有因心脏病或支气管炎继发的无法控制的慢性咳嗽的老年雌性犬有发生会阴疝的风险。先前骨盆创伤是雌性犬发生会阴疝的另一个潜在危险因素。