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首页> 外文会议>Annual Convention of the American Association of Equine Practitioners >Diagnosis and Surgical Treatment of Uterine Lacerations in Mares (33 Cases)
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Diagnosis and Surgical Treatment of Uterine Lacerations in Mares (33 Cases)

机译：母马子宫撕裂诊断和外科治疗（33例）

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With prompt surgical treatment, the prognosis for survival in mares with uterine lacerations is good (80%). Uterine lacerations were most common in the tip of the uterine horns. Most of these lacerations were not palpable pre-surgically. Thus, history, clinical exam, and abdominocentesis are critical in determining the need for exploratory laparotomy. Severe abnormalities in hemodynamic values and a history of obstetrical manipulations for dystocia are associated with post-surgical mortality. Uterinetears, ruptures, or lacerations are an infrequent but serious post-partum complication. In a report of post-partum deaths in 98 mares, uterine lacerations accounted for 6.1% of all deaths and 11% of all deaths directly related to the reproductive system. A uterine laceration was the third leading cause of death behind ruptured uterine artery (41%) and cecal perforation (19%). Uterine lacerations can occur during fetal manipulation of dystocias and spontaneously during parturition for unknown reasons. Uterine ruptures have also been reported pre-partum and have been associated with hydram-nios5 and uterine torsion. Diagnosis of uterine lacerations is based on history, clinical signs, rectal palpation, and/or transvaginal uterine exam. Abdominocentesisis valuable in determining degree of peritonitis and is predictive of post-partum mares with or developing a clinical abnormality. Ancillary diagnostics such as laparoscopy may also be useful.
机译：随着迅速的手术治疗，子宫撕裂母猪中存活的预后很好（80％）。子宫撕裂在子宫角的尖端中最常见。大多数这些撕裂性不可触及前手术。因此，历史，临床检查和腹膜腔内对于确定对探索性剖腹手术的需求至关重要。血流动力值的严重异常和难产的产科操纵历史与手术后死亡率有关。子宫，破裂或撕裂是一种不常见但严重的后伴侣并发症。在98母马的党后死亡人员的报告中，子宫撕裂占所有死亡的6.1％，占与生殖系统直接相关的所有死亡人数的11％。子宫撕裂是后肢后动脉（41％）和肠穿孔（19％）背后死亡的第三个主要原因。在胎儿操纵期间可以发生子宫撕裂，并且在分娩期间自发地出现，因为未知原因。子宫破裂也已经报道了预粒度，并与肼 - Nios5和子宫扭转有关。子宫撕裂的诊断基于历史，临床症状，直肠触诊和/或经阴道子宫检查。腹部entesisis在确定腹膜炎程度上有价值，并具有与临床异常的Partum Mares后的预测性。腹腔镜等辅助诊断也可能是有用的。

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