Farin P W, Estill C T
Department of Food Animal and Equine Medicine, North Carolina State University College of Veterinary Medicine, Raleigh.
Vet Clin North Am Food Anim Pract. 1993 Jul;9(2):291-308. doi: 10.1016/s0749-0720(15)30647-2.
A careful physical examination of a cow or heifer suspected of having an ovarian problem often results in a specific diagnosis (e.g., freemartinism) or a workable list of differentials. When the diagnosis is uncertain, techniques such as rapid progesterone assays, ultrasonographic imaging, ova or embryo recovery, and cytogenetic evaluation can provide critical information for a well-based diagnosis and prognosis. Despite the wide array of problems that can afflict the bovine ovary, cystic ovaries probably are the most commonly diagnosed and treated ovarian abnormality. Cysts have a variable life span and sometimes occurs together with a CL. Hormonal therapy with either GnRH followed by PG approximately 9 to 14 days later, or GnRH alone, followed by good heat detection is the treatment of choice for cows with cysts. Other conditions associated with ovarian dyfunction and infertility include adhesions, developmental anomalies, and tumors. The life span of a CL in the cow can be shortened unintentionally by attempting to correct other problems (e.g., multiple injections of oxytocin for milk let-down), or lengthened by uterine pathology (e.g., pyometra, or uterus unicornis). The administration of GnRH or hCG to improve ovarian function and pregnancy rates in cows may be beneficial in selected herds.
对疑似患有卵巢疾病的母牛或小母牛进行仔细的体格检查,往往能得出明确的诊断结果(如自由马丁症)或一系列可行的鉴别诊断清单。当诊断不明确时,快速孕酮检测、超声成像、卵子或胚胎回收以及细胞遗传学评估等技术可为准确的诊断和预后提供关键信息。尽管影响母牛卵巢的问题多种多样,但卵巢囊肿可能是最常被诊断和治疗的卵巢异常情况。囊肿的存活时间各不相同,有时还会与黄体同时出现。对于患有囊肿的母牛,首选的治疗方法是先注射促性腺激素释放激素(GnRH),约9至14天后再注射前列腺素(PG),或者单独注射GnRH,随后进行良好的发情监测。与卵巢功能障碍和不孕症相关的其他病症包括粘连、发育异常和肿瘤。试图纠正其他问题(如多次注射催产素以促进排乳)可能会无意中缩短母牛黄体的寿命,而子宫疾病(如子宫蓄脓或单角子宫)则可能会延长其寿命。在某些牛群中,注射GnRH或人绒毛膜促性腺激素(hCG)以改善母牛的卵巢功能和提高妊娠率可能是有益的。