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  1. NTU Theses and Dissertations Repository
  2. 生物資源暨農學院
  3. 獸醫專業學院
  4. 臨床動物醫學研究所
請用此 Handle URI 來引用此文件: http://tdr.lib.ntu.edu.tw/jspui/handle/123456789/10085
完整後設資料紀錄
DC 欄位值語言
dc.contributor.advisor葉力森
dc.contributor.authorChi-Hsin Liuen
dc.contributor.author劉其欣zh_TW
dc.date.accessioned2021-05-20T21:00:49Z-
dc.date.available2012-07-27
dc.date.available2021-05-20T21:00:49Z-
dc.date.copyright2011-07-27
dc.date.issued2011
dc.date.submitted2011-07-20
dc.identifier.citation1. Bellenger CR. Perineal hernia in dogs. Aust Vet J 1980;56:434-438.
2. Burrows CF, Harvey CE. Perineal hernia in the dog. J Small Anim Pract 1973;14:315-332.
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4. Risselada M, Kramer M, Van de Velde B, et al. Retroflexion of the urinary bladder associated with a perineal hernia in a female cat. J Small Anim Pract 2003;44:508-510.
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6. Niles JD, Williams JM. Perineal hernia with bladder retroflexion in a female cocker spaniel. J Small Anim Pract 1999;40:92-94.
7. Dorn AS, Cartee RE, Richarson DC. A Preliminary Comparison of Perineal Hernia in the Dog and Man. J Am Anim Hosp Assoc 1982;18:624–632.
8. Raffan PJ. A New Surgical Technique for Repair of Perineal Hernias in the Dog. J Small Anim Pract 1993;34:13-19.
9. Rochat MC, Mann FA. Sciatic perineal hernia in two dogs. J Small Anim Pract 1998;39:240-243.
10. Hayes HMJW, G.P.; Tarone, R.E. The epidemiologic features of perineal hernia in 771 dogs. J Am Anim Hosp Assoc 1978;14:703-707.
11. Maute AM, Koch DA, Montavon PM. [Perineal hernia in dogs--colopexy, vasopexy, cystopexy and castration as elective therapies in 32 dogs]. Schweiz Arch Tierheilkd 2001;143:360-367.
12. Head LL, Francis DA. Mineralized paraprostatic cyst as a potential contributing factor in the development of perineal hernias in a dog. J Am Vet Med Assoc 2002;221:533-535.
13. Pettit GD. Perineal hernia in the dog. Cornell Vet 1962;52:261-279.
14. Mann FA, Nonneman DJ, Pope ER, et al. Androgen receptors in the pelvic diaphragm muscles of dogs with and without perineal hernia. Am J Vet Res 1995;56:134-139.
15. Weaver AD, Omamegbe JO. Surgical treatment of perineal hernia in the dog. J Small Anim Pract 1981;22:749-758.
16. Harvey CE. Treatment of perineal hernia in the dog--a reassessment. J Small Anim Pract 1977;18:505-511.
17. Spreull JS, Frankland AL. Transplanting the superficial gluteal muscle in the treatment of perineal hernia and flexure of the rectum in the dog. J Small Anim Pract 1980;21:265-278.
18. Mann FA, Boothe HW, Amoss MS, et al. Serum testosterone and estradiol 17-beta concentrations in 15 dogs with perineal hernia. J Am Vet Med Assoc 1989;194:1578-1580.
19. Desai R. An anatomical study of the canine male and female pelvic diaphagm and the effect of testosterone on the status of levator ani of male dogs. J Am Anim Hosp Assoc 1982;18:195-202.
20. Niebauer GW, Shibly S, Seltenhammer M, et al. Relaxin of prostatic origin might be linked to perineal hernia formation in dogs. Ann N Y Acad Sci 2005;1041:415-422.
21. Merchav R, Feuermann Y, Shamay A, et al. Expression of relaxin receptor LRG7, canine relaxin, and relaxin-like factor in the pelvic diaphragm musculature of dogs with and without perineal hernia. Vet Surg 2005;34:476-481.
22. Shahar R, Shamir MH, Niebauer GW, et al. A possible association between acquired nontraumatic inguinal and perineal hernia in adult male dogs. Can Vet J 1996;37:614-616.
23. Petttt GD. Perineal Hernia in a Bitch. Can Vet J 1960;1:504-507.
24. Sjollema BE, Venker-van Haagen AJ, van Sluijs FJ, et al. Electromyography of the pelvic diaphragm and anal sphincter in dogs with perineal hernia. Am J Vet Res 1993;54:185-190.
25. Vnuk D, Lipar M, Matičić D, et al. Comparison of Standard Perineal Herniorrhaphy and Transposition of the Internal Obturator Muscle for Perineal Hernia Repair in the Dog. Veterinarski arhiV 2008;78:197-207.
26. Vyacheslav H, Ranen E. Perineal hernia with retroflexion of the urinary bladder in a 4 month old puppy. J Small Anim Pract 2009;50:625.
27. Krahwinkel DJ. Rectal Diseases and Their Role in Perineal Hernia. Veterinary Surgery 1983;12:160-165.
28. Pekcan Z, Besalti O, Sirin YS, et al. Clinical and Surgical Evaluation of Perineal Hernia in Dogs: 41 Cases. Kafkas Universitesi Veteriner Fakultesi Dergisi 2010;16:573-578.
29. Larsen JS. Perineal Herniorrhaphy in Dogs. J Am Vet Med Assoc 1966;149:277-&.
30. Vnuk D, Maticic D, Kreszinger M, et al. A modified salvage technique in surgical repair of perineal hernia in dogs using polypropylene mesh. Veterinarni Medicina 2006;3:111-117.
31. Whittlestone JF. Letter: 'Perineal hernia'. J Small Anim Pract 1973;14:828-829.
32. Brissot HN, Dupre GP, Bouvy BM. Use of laparotomy in a staged approach for resolution of bilateral or complicated perineal hernia in 41 dogs. Vet Surg 2004;33:412-421.
33. Sandwith DJ. Perineal hernia in the bitch. Vet Rec 1976;99:18.
34. Welches CD, Scavelli TD, Aronsohn MG, et al. Perineal hernia in the cat: a retrospective study of 40 cases. J Am Anim Hosp Assoc 1992;28:431-438.
35. Zaks KL, Corti LB, Turner AI. What is your diagnosis? Soft-tissue opacity in the right perineal region. J Am Vet Med Assoc 2001;219:21-22.
36. Vnuk D, Babic T, Stejskal M, et al. Application of a semitendinosus muscle flap in the treatment of perineal hernia in a cat. Vet Rec 2005;156:182-184.
37. Orsher RJ. Clinical and Surgical Parameters in Dogs with Perineal Hernia Analysis of Results of Internal Obturator Transposition. Veterinary Surgery 1986;15:253-258.
38. White RAS, Herrtage ME. Bladder Retroflexion in the Dog. J Small Anim Pract 1986;27:735-746.
39. Robertson JJ. Perineal hernia repair in dogs. Mod Vet Pract 1984;65:365-368.
40. Fossum TW. Small Animal Surgery In: Hedlund CS, Fossum, T.W., ed. Surgery of the Digestive System. 3rd ed. St Louis: Mosby, 2007;518.
41. Hardie EM, Kolata RJ, Earley TD, et al. Evaluation of Internal Obturator Muscle Transposition in Treatment of Perineal Hernia in Dogs. Veterinary Surgery 1983;12:69-72.
42. Sjollema BE, van Sluijs FJ. Perineal hernia repair in the dog by transposition of the internal obturator muscle. II. Complications and results in 100 patients. Vet Q 1989;11:18-23.
43. Chambers JN, Rawlings CA. Application of a semitendinosus muscle flap in two dogs. J Am Vet Med Assoc 1991; 199:84–86.
44. Mortari AC, Rahal SC, Resende LAL, et al. Electromyographical, ultrasonographical and morphological modifications in semitendinous muscle after transposition as ventral perineal muscle flap. Journal of Veterinary Medicine Series a-Physiology Pathology Clinical Medicine 2005;52:359-365.
45. Bongartz A, Carofiglio F, Balligand M, et al. Use of autogenous fascia lata graft for perineal herniorrhaphy in dogs. Veterinary Surgery 2005;34:405-413.
46. Pratummintra K, Pankhum S, Chuthatep S, et al. Tunica Vaginalis Autograft for Perineal Hernia Repair in Dogs. Proc 9th CU Vet Sci Ann Con 2010:109.
47. Bilbrey SA, Smeak DD, DeHoff W. Fixation of the deferent ducts for retrodisplacement of the urinary bladder and prostate in canine perineal hernia. Vet Surg 1990;19:24-27.
48. Gilley RS, Caywood DD, Lulich JP, et al. Treatment with a combined cystopexy-colopexy for dysuria and rectal prolapse after bilateral perineal herniorrhaphy in a dog. J Am Vet Med Assoc 2003;222:1717-1721, 1706.
49. Huber DJ, Seim HB, Goring RL. Cystopexy and colopexy for the management of large or recurrent perineal hernia in the dog: 9 cases (1994 to 1996). Vet Surg 1997;26:253-254.
50. Dupre GP, Prat N, Bouvy B. Perineal hernia in the dog: an evaluation of associated lesions and results in 60 dogs. . Vet Surg 1993;22:250.
51. Rawlings CA, Howerth EW, Mahaffey MB, et al. Laparoscopic-assisted cystopexy in dogs. Am J Vet Res 2002;63:1226-1231.
52. Frankland AL. Use of porcine dermal collagen in the repair of perineal hernia in dogs--a preliminary report. Vet Rec 1986;119:13-14.
53. Stoll MR, Cook JL, Pope ER, et al. The use of porcine small intestinal submucosa as a biomaterial for perineal herniorrhaphy in the dog. Vet Surg 2002;31:379-390.
54. Szabo S, Wilkens B, Radasch RM. Use of polypropylene mesh in addition to internal obturator transposition: A review of 59 cases (2000-2004). J Am Anim Hosp Assoc 2007;43:136-142.
55. Kanil W, Brikshavana P., Durongphongtorn S. The Use of Self-gripping Prosthetic Mesh for Perineal Herniorrhaphy in Dogs. Proceeding of the 10th Chulalongkorn University Veterinary Annual Conference 2011;14.
56. Lorinson D, Grösslinger K. The Effect of Preoperative Anal Closure on Wound Infection Rate in Perineal Hernia Surgery. Vet Surg 2002;31:301.
57. Chou TH. Retrospective Survey of Feline Vaccine-Associated Sarcoma in Taiwan: 57 cases (2002-2009). Taipei: Graduate Institute of Veterinary Clinical Sciences, School of Veterinary Medicine, National Taiwan University, 2009.
dc.identifier.urihttp://tdr.lib.ntu.edu.tw/jspui/handle/123456789/10085-
dc.description.abstract目前犬會陰疝氣的病因仍未清楚,推測可能有多因素所影響,如荷爾蒙、老化、排泄問題等。吠叫與咳嗽行為可能造成腹內壓的瞬間增加,而提高骨盆隔膜上之壓力,我們假設其會提升會陰疝氣發生的風險,並影響手術的預後。
實際進行以2004年一月至2010年三月間於臺灣大學附設動物醫院就診並以手術處理的七十三隻會陰疝氣患犬為對象之回溯性研究,分別自病歷紀錄,以及電話訪問畜主來了解患犬的狀況,發現患犬確實有過度吠叫的情形,而吠叫程度亦顯著影響手術的結果。
在其他因子方面,無論是犬隻的年齡、臨床症狀、手術方式、疝氣的狀況等,皆對會陰疝氣的手術預後沒有顯著影響,與之前研究相符。需要注意的是體型較小的犬隻,以及同時發生雙側疝氣、直腸疾病或鼠蹊隱睪的患畜,其手術預後可能較差。

本研究結論過度吠叫可能為造成會陰疝氣發生的風險因子之一,同時會影響手術的結果,當臨床獸醫師與畜主討論會陰疝氣相關治療方向及預後時,需要將犬隻的行為特質一併列入考量。
zh_TW
dc.description.abstractThe events causing a sudden increasing of intra-abdominal pressure like barking and coughing are suspected to increase the loading of pelvic diaphragm, which may lead to perineal herniation. The role of excessive barking and coughing in the development of perineal hernia were surveyed in this study. The present study also attempted to determine the risk factors affecting the prognosis following surgical treatment of perineal hernia. Seventy-three dogs diagnosed as perineal hernia and repaired surgically at the National Taiwan University Veterinary Hospital (NTUVH) from January 2004 to March 2010 were included in this study.
Differences in recurrence, complication rate and surgical outcome after perineal herniorrhaphy are not correlated with patient age, clinical signs, castration, which are compatible with previous studies.
For small breeds and patients with bilateral perineal hernia, rectal diseases and inguinal cryptorchidism, a poorer prognosis and more complications after surgical repair may need to discuss with the owner.
Excessive barking behavior may be one of the predisposing factors of canine perineal hernia, and can also affect the surgical outcome.
en
dc.description.provenanceMade available in DSpace on 2021-05-20T21:00:49Z (GMT). No. of bitstreams: 1
ntu-100-R97643001-1.pdf: 2394957 bytes, checksum: 63c3d062826d3f527f57959d646efe87 (MD5)
Previous issue date: 2011
en
dc.description.tableofcontents致謝 i
中文摘要 ii
英文摘要 iii
目錄 iv
圖次 v
表次 vii
第一章 序言 1
第二章 文獻探討 2
第一節 犬會陰部的解剖構造 2
第二節 會陰疝氣的病因 5
第三節 會陰疝氣之臨床症狀 14
第四節 會陰疝氣之治療 17
第五節 會陰疝氣之術後併發症及復發 32
第三章 犬會陰疝氣之好發因子及預後相關因子之回溯性研究 35
第一節 前言 35
第二節 實驗材料與方法 36
第三節 結果 40
第四節 討論 72
第五節 結論 81
參考文獻 82
dc.language.isozh-TW
dc.title犬會陰疝氣之好發因子及預後相關因子之回溯性研究zh_TW
dc.titleRetrospective Evaluation of Predisposing Factors and Factors Influencing Prognosis of Canine Perineal Herniaen
dc.typeThesis
dc.date.schoolyear99-2
dc.description.degree碩士
dc.contributor.oralexamcommittee張仕杰,林中天
dc.subject.keyword會陰疝氣,吠叫,好發因子,預後因子,犬,zh_TW
dc.subject.keywordperineal hernia,barking,predisposing factor,prognostic factor,dog,en
dc.relation.page85
dc.rights.note同意授權(全球公開)
dc.date.accepted2011-07-21
dc.contributor.author-college獸醫專業學院zh_TW
dc.contributor.author-dept臨床動物醫學研究所zh_TW
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