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教学机构中的猫爪切除术:163例回顾性研究。

Feline onychectomy at a teaching institution: a retrospective study of 163 cases.

作者信息

Tobias K S

机构信息

Department of Veterinary Clinical Sciences, Washington State University College of Veterinary Medicine, Pullman 99164-6610.

出版信息

Vet Surg. 1994 Jul-Aug;23(4):274-80. doi: 10.1111/j.1532-950x.1994.tb00482.x.

Abstract

One hundred sixty-three cats underwent onychectomy from January 1985 to November 1992. Onychectomy was performed with guillotine-type nail shears (62%), surgical blade (24.5%), or both (8.6%), and wound closure consisted of bandages alone (61.3%), bandages after suture closure (26.4%), or tissue adhesive application (9.2%). The duration of surgery was significantly longer when onychectomy was performed with a blade or when suture closure was used instead of bandages alone (P < .05). Fifty percent of the cats had one or more complications immediately after surgery. Early postoperative complications included pain (38.1%), hemorrhage (31.9%), lameness (26.9%), swelling (6.3%), or non-weight-bearing (5.6%), and were observed more frequently after blade onychectomy (P < .001). Follow-up was available in 121 cats; 19.8% developed complications after release. Late postoperative complications included infection (11.6%), regrowth (7.4%), P2 protrusion (1.7%), palmagrade stance (1.7%), and prolonged, intermittent lameness (0.8%). Late postoperative complications were observed more frequently after shears onychectomy (P = .018). Use of tissue adhesive was associated with more postoperative lameness (P < .02) and, when used after shears onychectomy, with more infections (P = .049).

摘要

1985年1月至1992年11月期间,163只猫接受了爪切除术。爪切除术采用断头台式指甲剪进行的占62%,手术刀进行的占24.5%,两者都使用的占8.6%,伤口闭合方式仅使用绷带的占61.3%,缝合后使用绷带的占26.4%,或使用组织粘合剂的占9.2%。当用刀片进行爪切除术或使用缝合闭合而非仅使用绷带时,手术时间明显更长(P < 0.05)。50%的猫在手术后立即出现一种或多种并发症。术后早期并发症包括疼痛(38.1%)、出血(31.9%)、跛行(26.9%)、肿胀(6.3%)或不承重(5.6%),在刀片爪切除术后更频繁观察到这些并发症(P < 0.001)。对121只猫进行了随访;19.8%的猫在出院后出现并发症。术后晚期并发症包括感染(11.6%)、再生(7.4%)、P2突出(1.7%)、掌行姿势(1.7%)和持续性间歇性跛行(0.8%)。在剪刀爪切除术后更频繁观察到术后晚期并发症(P = 0.018)。使用组织粘合剂与更多术后跛行相关(P < 0.02),并且在剪刀爪切除术后使用时,与更多感染相关(P = 0.049)。

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