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回顾性分析了 302 例绵羊难产病例,这些病例均在一家兽医医院就诊,其中特别关注了子宫扭转。

Retrospective analysis of 302 ovine dystocia cases presented to a veterinary hospital with particular attention to uterine torsion.

机构信息

Clinic for Ruminants with Ambulatory and Herd Health Services, Ludwig-Maximilians-Universität München, Oberschleissheim, Germany.

出版信息

Vet Med Sci. 2022 Jul;8(4):1683-1693. doi: 10.1002/vms3.820. Epub 2022 Apr 27.

Abstract

BACKGROUND

Dystocia is common in sheep, and foetal causes are predominant. Among maternal causes, insufficient cervical dilatation is the most frequent problem. Uterine torsion has been considered rare by many authors.

OBJECTIVES

This study was conducted to investigate causes of dystocia in sheep presented for veterinary attention, and particular focus was set on the description of uterine torsion and analysis of potentially predisposing factors for this condition.

METHODS

Clinical records of 302 sheep treated for dystocia were evaluated retrospectively. Known and proposed risk factors for uterine torsion in cattle were analysed regarding their potential importance in sheep. These included lamb birth weights, ewe age, parity, season, nutrition, breed type, litter size and husbandry.

RESULTS

Maternal causes of dystocia accounted for 67.2% (203/302) of the presented cases. Of these, insufficient cervical dilatation (121/203, 59.6%) was the most frequent diagnosis. Another substantial proportion of maternal causes (60/203, 29.6%) was identified as uterine torsion. Husbandry, breed type and litter size showed significance in univariate analyses, with lower odds for meat breeds (OR 0.22; p < 0.001), twin- (OR 0.49; p = 0.020) or multiple-bearing ewes (OR 0.19; p = 0.013) and higher odds for fully housed animals (OR 17.87; p < 0.001). Year-round housing was identified as the most influential factor in a subsequent multivariate analysis.

CONCLUSIONS

Uterine torsion was identified as a relevant cause of dystocia in our case load. The condition is likely to be underdiagnosed in sheep, and increased farmer and veterinary awareness is necessary to ensure adequate treatment of affected animals and to prevent unnecessary suffering.

摘要

背景

难产在绵羊中很常见,主要是胎儿原因。在母体原因中,宫颈扩张不足是最常见的问题。许多作者认为子宫扭转很少见。

目的

本研究旨在调查兽医就诊的绵羊难产的原因,特别关注子宫扭转的描述,并分析这种情况的潜在诱发因素。

方法

回顾性评估了 302 只因难产接受治疗的绵羊的临床记录。分析了牛的已知和提出的子宫扭转风险因素,以确定它们在绵羊中的潜在重要性。这些因素包括羔羊出生体重、母羊年龄、胎次、季节、营养、品种类型、产羔数和饲养管理。

结果

难产的母体原因占 67.2%(203/302)。其中,宫颈扩张不足(121/203,59.6%)是最常见的诊断。母体原因的另一个相当大的比例(60/203,29.6%)被确定为子宫扭转。饲养管理、品种类型和产羔数在单因素分析中具有显著性,肉用品种的可能性较小(OR 0.22;p<0.001),双胎或多胎母羊(OR 0.49;p=0.020)或多胎母羊(OR 0.19;p=0.013),而完全圈养的动物可能性更大(OR 17.87;p<0.001)。全年圈养被确定为多因素分析中最具影响力的因素。

结论

子宫扭转被确定为我们病例中难产的一个相关原因。这种情况在绵羊中可能被误诊,需要增加农民和兽医的意识,以确保对受影响的动物进行适当的治疗,并防止不必要的痛苦。

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本文引用的文献

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[Uterine torsion in cattle: Treatment, risk of injury for the cow and prognosis for the calf].[牛的子宫扭转:治疗、母牛的受伤风险及犊牛的预后]
Tierarztl Prax Ausg G Grosstiere Nutztiere. 2018 Jun;46(3):143-149. doi: 10.15653/TPG-170680. Epub 2018 Jun 14.
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Applications of diagnostic ultrasonography in small ruminant reproductive management.诊断超声在小反刍动物繁殖管理中的应用。
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Factors affecting dystocia and offspring vigour in different sheep genotypes.影响不同绵羊基因型难产和后代活力的因素。
Prev Vet Med. 2012 Mar 1;103(4):257-64. doi: 10.1016/j.prevetmed.2011.09.002. Epub 2011 Sep 28.
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Complications during gestation in the cow.母牛妊娠期的并发症。
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