Re: [請問] 母狗結紮只摘卵巢?

[kb09 (09)]

※ 引述《pooh1984 (Joanne)》之銘言：
: 來到中和左岸的微創手術進行結紮，
: 醫生告知結紮只會拿掉卵巢，
: 讓子宮自行萎縮
: 是這樣嗎？
: 我查資料怎麼都是要兩個一起拿?
: 可以請大家告訴我正確的結紮方式嗎？

Comparison of long-term effects of ovariectomy versus ovariohysterectomy in bi
tches.

Although ovariectomy is less invasive and less time-consuming than ovariohyste
rectomy, most surgical textbooks recommend ovariohysterectomy for routine neut
ering of bitches. This advice is probably based on concerns about the developm
ent of uterine disease after ovariectomy. However, there is no evidence that c
onditions such as cystic endometrial hyperplasia (CEH)-endometritis develop in
 the ovariectomized bitch, unless progestagens are administered. The purpose o
f this study was therefore to compare the long-term effects of ovariectomy and
 ovariohysterectomy, including the incidence of urinary incontinence. Question
naires were sent to 264 owners of bitches, in which ovariectomy (126) or ovari
ohysterectomy (138) had been performed as a routine neutering procedure 8-11 y
ears earlier. Complete data were available for 69 bitches of the ovariectomy g
roup and for 66 bitches from the ovariohysterectomy group. There were no indic
ations that endometritis had developed in bitches of the ovariectomy group. No
ne of the bitches was sexually attractive to male dogs after neutering. The oc
currence of a clear to white vaginal discharge was reported in two bitches of
each group, but none of these four bitches appeared to be ill during the perio
ds when the discharge was present. Furthermore, with the exception of urinary
incontinence, no problems were reported that could be related to the surgical
neutering. Six of the ovariectomized bitches and nine of the ovariohysterectom
ized bitches eventually developed urinary incontinence. Of these 15 bitches (1
1%), 12 weighed more than 20 kg. Bouvier des Flandres bitches were at a higher
 risk of developing urinary incontinence than were those of the other breeds.
The possibility that the urinary incontinence was due at least in part to othe
r conditions must be considered, since eight of the bitches were 9 years or ol
der before urinary incontinence occurred and seven of the incontinent bitches
also had polyuria or polydipsia. There were no significant differences in the
incidence of urogenital problems listed above between the bitches of the ovari
ectomy and ovariohysterectomy group. It is hypothesized that a uterine disease
 such as CEH-endometritis cannot develop after complete ovariectomy, unless pr
ogestagens are administered. The results of this study indicate that ovariecto
my does not increase the risk of CEH-endometritis or other complications in co
mparison with ovariohysterectomy. It is concluded that there is no indication
for removing the uterus during routine neutering in healthy bitches. On the co
ntrary, ovariectomy should be considered the procedure of choice.

http://europepmc.org/abstract/med/9404289




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※ 文章網址: https://www.ptt.cc/bbs/dog/M.1432474318.A.67B.html
噓 qaz12wsx45: 嗯嗯 快推 否則別人會以為我看不懂
→ retriever33: 也好歹翻譯重點一下  這裡又不是獸醫版
推 bouu7107: 推一樓
推 bigfatzero: 大概是說兩者在術後沒有明顯差異，只拿掉卵巢並不會
→ bigfatzero: 提高子宮疾病或尿失禁的發生率，文末還提到卵巢切除術
→ bigfatzero: 應該成為結紮手術的一個選擇(應該是推薦的意思吧？！
→ bigfatzero: ！procedure的意思有點難解啊)
→ kb09: 我也不是獸醫，看不懂可以ㄧ句ㄧ句餵google翻譯呀
推 retriever33: 你很厲害看得懂  但是如果你是想要分享給狗版的大家
→ retriever33: 我覺得翻譯一下重點會比較恰當
→ retriever33: Btw我不是獸醫   但我本身是看得懂的
噓 ff7forever: kb09  我也看得懂啊  但我認為看得懂的人不會說出goog
→ ff7forever: le翻譯這種solution
→ kb09: 看得懂很好啊，但是我沒欠誰，為啥po文還要附翻譯？
→ kb09: 板規有說不能po英文？
→ ff7forever: 你不翻譯好歹也寫點對於這篇原文或是這議題的看法 甚
→ ff7forever: 或是文章出處的簡介
→ ff7forever: 就這樣丟一篇英文文章還讓人以為是po錯版勒
→ kb09: 現在找paper給你看要求還這麼多喔？伸手牌很好當？
噓 ff7forever: kb09 大家來謝主隆恩
推 rikoC: 謝謝分享^_________________^
→ rikoC: 其實我問獸醫結紮問題，醫生也是丟給我文獻連結而已
→ rikoC: 雖然沒中譯是美中不足，但人家從茫茫書海節錄資訊已屬可貴
推 Subaudition: 在歐洲OVE是主流, 台灣OHE是主流 但都是有效的結紮