陈奕达
执业兽医师
根据你讲到的信息,我暂时还不能做出进一步的判断。我还有几个问题需要向你了解一下:
1. 狗狗是否还有其它检查?是否有进行触诊检查?
2. 狗狗是否还有其它症状?
3. 狗狗一般运动多久之后会瘸腿?然后是否可以慢慢自行恢复正常?
4. 狗狗以前是否有过关节疾病病史?
以上这些情况你仔细回忆后详细的描述给我,感谢你的配合。
有拍片,一般半小时以上或者剧烈运动就会瘸腿,静养休息一晚会好点,以前有关节炎,照了片子说的是髌骨脱位
陈奕达
执业兽医师
你好,感谢回复,谢谢。
1.是的,从x光片来看,狗狗确实有髌骨脱位问题,图片上我标记这里就是。
2.狗狗这种情况,需要进行触诊,进一步判断是几级脱位,1-2级脱位,可以考虑保守用药治疗,维持脱位等级提升即可。暂时不用考虑手术。但是如果超过2级脱位,那么必须考虑尽快手术治疗,因为保守治疗效果很差,而且等级提升会很快。一但超过5级,手术难度增加,恢复概率会很低很低。
为保护用户隐私不显示图片/视频
在当地宠物医院看说的是3级脱位,复位后继续脱出,现在手术治疗的话哪种手术更适合一些,术后的愈合怎么样?会不会复发?
陈奕达
执业兽医师
你好,
1.3级脱位滑车再造一般就够用了。
2.术后没有感染照顾的好,积极配合医生治疗,康复概率90%以上。如果狗狗非常活跃,会有10%左右的概率复发。
3.手术费用以狗狗体重,大概5000-10000左右,地区差异不同,用药等级不同,费用会有浮动。
滑车再造就是置换手术?那滑车槽加深手术如何?两种有什么区别优点缺点如何?应该怎么选择?
陈奕达
执业兽医师
你好,滑车再造手术,不是置换手术(两个手术方式)。滑车再造手术,指的是加深滑车沟即可。
滑车置换,指的是植入人工的滑车,有内植入物。
对比来讲,置换手术之后,复发概率会更低,缺点费用非常高昂。
3级脱位,以我的经验判断,一般只要我们能够照顾好狗狗,并且积极配合,滑车再造手术就够用了。
明白,但是滑车再造的话不能解决关节炎的问题是吗?如果做滑车再造后续关节炎可以用药物治疗吗?
那我们这种其实就做滑车再造就可以了吧?置换手术的话我们这边还做不了
陈奕达
执业兽医师
非常感谢你对蘑菇宠医的信任,如果对我的解答满意,请帮我点亮五星哦!祝爱宠早日康复!
后续宝贝有其它问题,可以到“蘑菇宠医”官方微信公众号找到我的医生继续向我提问,有问题随时联系。
希望我的建议可以帮到宝贝,如果爱宠平时有什么养护小问题也可以通过蘑菇宠医小程序搜索了解哦~“
为保护用户隐私不显示图片/视频
陈奕达
执业兽医师
你好,药物只能尽可能维持脱位等级不提升,延缓等级提升速度,缓解痛苦,无法治疗这个问题。
这边根据宝贝的情况,我给宝贝开个处方。以备不时之需。
药物具体用法用量已经帮你计算妥当,可以点击查看详情按钮,进入处方页面查看。
处方里面的
1. ****,宠物专用广谱消炎,控制宝贝关节炎症问题。
2. ****,宠物专用营养关节用药,增加关节液调节,促进关节方面疾病恢复。
3. ****,宠物专用抗炎止疼用药,缓解关节疼痛,缓解炎症加重。
可以根据需求自行选择购买。
发病期间,禁止宝贝剧烈,长时间运动。尽可能静养。注意不能着凉,尤其是趴在地上休息。
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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