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采用经宫颈子宫插管技术诊断母犬子宫疾病

New techniques using transcervical uterine cannulation for the diagnosis of uterine disorders in bitches.

作者信息

Watts J R, Wright P J, Lee C S, Whithear K G

机构信息

Department of Veterinary Science, University of Melbourne, Werribee, Australia.

出版信息

J Reprod Fertil Suppl. 1997;51:283-93.

PMID:9404297
Abstract

A technique for collecting uterine samples from bitches without the need for surgery was developed. This technique involved visualizing the cervix with a rigid endoscope and passing a catheter through the cervix into the uterus. Samples for microbiology and cytology were obtained by the infusion and aspiration of sterile normal saline. This technique allowed uterine microbiology and cytology of the normal bitch throughout the reproductive cycle. Microorganisms were frequently recovered from the uterus during pro-oestrus and oestrus, but rarely at other stages of the reproductive cycle. The uterine microflora often reflected the vaginal microflora during pro-oestrus and oestrus. The cells found in uterine cytology samples from normal bitches included endometrial epithelial cells, leukocytes, erythrocytes, cervical cells, spermatozoa and bacteria. The types, proportions, morphology and numbers of cells varied throughout the reproductive cycle. The endoscope could be passed into the uterus and the endometrium examined from parturition until day 23 post partum. These procedures and contrast hysterography were used to investigate the reproductive tract of bitches. The above techniques have facilitated the diagnosis of postpartum metritis (n = 3), pyometra (n = 2), endometritis (n = 1), abortion (n = 1), retained placenta (n = 1), postpartum uterine rupture (n = 1), endometrial subinvolution (n = 1) and misalliance (n = 1) in 21 bitches investigated.

摘要

开发了一种无需手术即可从母犬采集子宫样本的技术。该技术包括用硬性内窥镜观察子宫颈,并将导管穿过子宫颈插入子宫。通过注入和抽吸无菌生理盐水获取微生物学和细胞学样本。该技术可在整个生殖周期对正常母犬进行子宫微生物学和细胞学检查。在发情前期和发情期,子宫内经常能检测到微生物,但在生殖周期的其他阶段则很少见。发情前期和发情期的子宫微生物群常反映阴道微生物群。正常母犬子宫细胞学样本中的细胞包括子宫内膜上皮细胞、白细胞、红细胞、子宫颈细胞、精子和细菌。细胞的类型、比例、形态和数量在整个生殖周期中有所变化。内窥镜可插入子宫,并可从分娩后直至产后第23天检查子宫内膜。这些程序和子宫输卵管造影术被用于研究母犬的生殖道。上述技术有助于对21只接受调查的母犬诊断产后子宫炎(n = 3)、子宫蓄脓(n = 2)、子宫内膜炎(n = 1)、流产(n = 1)、胎盘滞留(n = 1)、产后子宫破裂(n = 1)、子宫内膜复旧不全(n = 1)和错配(n = 1)。

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New techniques using transcervical uterine cannulation for the diagnosis of uterine disorders in bitches.采用经宫颈子宫插管技术诊断母犬子宫疾病
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