咨询描述：19号我带狗狗去绝育，狗狗是单侧隐睾，拍b超的时候确定狗狗隐睾位置在右侧。医生让住院三天，第一天去看的时候就有点不对劲，后腿没力，我以为是绝育后疼的，就没在意，第三天接的时候发现狗走路右边后腿拖着走，医生让拍个片子，拍完告诉我狗的股骨头坏死了。送去之前是挺好的，4月份做过检查心脏，腹部彩超，五分类血常规和生化，没有发现有问题，这次去绝育也做了血常规和生化，生化还是24项的均没检查出任何问题。也拍过心脏和气管确认没有任何问题。股骨头坏死生化能查的出来的吗？
问题大致一样，细节不同？
吴继强
执业兽医师
您好，小白家长，感谢您对我以及蘑菇宠医平台的信任！抱歉刚看到信息，股骨头坏死是髋关节股骨头骨骼关节问题，血液检查超声检查是看不出的，只有发现走路异常拍片检查才能看到。
看您发的图片看，两侧都不好，目前狗狗走路或者触摸活动关节疼痛反应大吗，
挺大的。医生给开了***止疼药。能看得出来他这样是坏死了多久了吗？如果要是做手术风险大吗？狗狗也6-7岁了。刚绝育完。一下子不知道怎么办好。
吴继强
执业兽医师
您好，卡疼痛反应大时可以适当止痛药控制，但是洛芬这类止痛药不能吃太久，会刺激胃肠，导致粘膜损伤出血。手术的话有两个方案，一个是股骨头切除，还有就是股骨头钛合金置换。风险主要是麻醉风险评估。
刚做完绝育，短时间再次麻醉风险比较大，可以先口服关节药保护关节维护关节，多注意观察走路情况，
1.***，一天两次，根据狗狗体重5-10公斤吃两片。
2.***，一天两次，5-10公斤体重也是吃两片。
注意活动量，避免剧烈运动导致关节负重过大。
好，我稍后去买。像这样选择保守治疗会好吗？还是只能等过段时间做切除会比较好，置换可能目前支撑不起2个关节的置换。切除会有后遗症吗？
吴继强
执业兽医师
您好，保守吃药只能尽量减少关节损伤摩擦疼痛，无法恢复正常。
对于手术切除后，股骨头就不再出现关节面摩擦疼痛，靠周围肌肉运动，小型犬狗狗体重负重不是太大，走路一般没有后遗症。
切除后，时间长了会出现什么问题吗？狗狗心脏二尖瓣三尖瓣有返流的现象，加上心脏有些许肥大，这样的情况做手术没什么问题吧！
吴继强
执业兽医师
切除后，股骨头没有了，不会有影响，就不会接触髋关节出现摩擦疼痛。
手术主要是麻醉评估监控，身体有问题麻醉风险会大，需要临床检查综合评估麻醉风险。
好的好的，实在是，太谢谢您了！您这个通消丹没看到淘宝有卖，如果吃完了怎么买呀？
吴继强
执业兽医师
您客气，您可以在这个问诊平台上面搜索买药申请免费开方，
为保护用户隐私不显示图片/视频
吴继强
执业兽医师
您好，希望我的建议能够帮助到您，非常感谢您的信任！请您在咨询结束后留下 5 星评价，您的评价是我工作最大的支持，感谢。需要复诊时可以加关注或者在您的咨询列表找到我，在我的主页选择合适的问诊服务包。祝您家小白健康成长。
医生建议及处方根据当前病情给出，仅适用于本次问诊
蘑菇宠医处方笺
用法用量需根据患宠的年龄、体重等信息开具，此处方暂不展示
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