闭孔内肌转位法和聚丙烯网法治疗犬会阴疝效果分析  

Analysis of the effect of internal obturator muscle transposition method and polypropylene mesh method in the treatment of canine perineal hernia

作　　者：李慧[1] 黄则铠 马裔寒 袁占奎[1,2] 拱海鸥 石磊[1] 王虓[1] LI Hui;HUANG Zekai;MA Yihan;YUAN Zhankui;GONG Haiou;SHI Lei;WANG Xiao(Veterinary Teaching Hospital,China Agricultural University,Bejing 100193,China;College of Veterinary Medicine,China Agricultural University,Bejing 100193,China;Chongfuxin Animal Hospital,Bejing 102218,China)

机构地区：[1]中国农业大学动物医院,北京100193 [2]中国农业大学动物医学院,北京100193 [3]宠福鑫动物医院,北京102218

出　　处：《黑龙江畜牧兽医》2022年第18期96-99,共4页Heilongjiang Animal Science And veterinary Medicine

摘　　要：为了评估闭孔内肌转位(internal obturator muscle transposition, IOT)法和聚丙烯网(polypropylene mesh, PM)法治疗犬会阴疝的效果,笔者收集了中国农业大学动物医院及宠福鑫动物医院以IOT法或PM法治疗的犬会阴疝的病例,记录患犬的基本信息、术前的临床症状、会阴疝的位置及内容物、术后并发症,并通过电话回访的方式获得患犬术后临床症状的改善及复发情况。结果表明:共纳入143例犬会阴疝病例,回访成功93例,其中IOT法治疗86例,PM法治疗7例,回访时间中位数为660 d(范围为90~1 460 d)。疝内容物包括脂肪、前列腺、膀胱、结肠、大网膜、直肠和小肠,最常见的疝内容物为脂肪,占64.3%。电话回访成功的93例病例的术前临床症状包括里急后重、排便困难、腹泻、粪便嵌顿、血便、直肠脱、尿路梗阻、血尿,IOT法和PM法治疗的病例中术前临床症状发生率最高的为里急后重和排便困难。术后总体并发症发生率为28.0%(26/93),IOT法治疗的病例中23例发生了并发症,发生率为26.7%;PM法治疗的病例中3例发生了并发症,发生率为42.9%。最常见的并发症为里急后重和排便困难。术后整体复发率为6.5%(6/93),均为采用IOT法治疗的病例。69.9%(65/93)的病例手术效果评为良好,17.2%(16/93)评为一般,12.9%(12/93)评为不良。说明IOT法和PM法均可以有效治疗犬会阴疝。In order to evaluate the effect of internal obturator muscle transposition(IOT) method and polypropylene mesh(PM) method in the treatment of canine perineal hernia, the cases of canine perineal hernia treated with IOT method or PM method were collected in Veterinary Teaching Hospital of China Agricultural University and Chongfuxin Animal Hospital. The dogs’ basic information, preoperative clinical symptoms, location and contents of perineal hernia, postoperative complications were recorded in this experiment, and the improvement and recurrence of postoperative clinical symptoms of the dogs were obtained through telephone follow-up visits. The results showed that a total of 143 cases of canine perineal hernia were included, and 93 cases were successfully followed up, including 86 cases of IOT method and 7 cases of PM method. The median follow-up visit time was 660 days(range: 90-1 460 days). The hernia contents included fat, prostate, bladder, colon, omentum, rectum and small intestine;the most common hernia contents were fat, accounting for 64.3%. The preoperative clinical symptoms of the 93 cases of successful telephone follow-up visits included tenesmus, difficulty in defecation, diarrhea, fecal incarceration, bloody stool, rectal prolapse, urinary tract obstruction, and hematuria. Among the cases treated by IOT method and PM method, the highest incidences of preoperative clinical symptoms were tenesmus and defecation difficulty. The postoperative overall complication rate was 28.0%(26/93). The complications occurred in 23 cases treated by IOT method, with an incidence rate of 26.7%;the complications occurred in 3 cases treated with PM method, with an incidence rate of 42.9%. The most common complications were tenesmus and dysuria. The postoperative overall recurrence rate was 6.5%(6/93), all of which were treated with IOT method. 69.9%(65/93) of the cases were rated as good, 17.2%(16/93) as fair, and 12.9%(12/93) as poor. The results suggested that IOT method or PM method could effectively treat canine perin

关 键 词：犬 会阴疝 闭孔内肌转位法 聚丙烯网法 手术 效果分析 

分 类 号：S857.17[农业科学—临床兽医学]