咨询描述:我的猫去年十月份出了车祸,疝气做了手术,当时拍片子看见左右腿长短不一样,疝气在右边,右腿有问题,问了医生说大概率骨折,今年又拍了片子发现变严重了,现在不知道该怎么办了,猫脾气现在很不好,吃喝正常,运动减少,嗜睡。
问题大致一样,细节不同?
不好意思我描述错误,疝气和腿都在猫的左侧,现在这个腿医生说看起来不像骨折
曹元钊
执业兽医师
你好,请问这个猫现在走路的时候有没有跛行或者运动能力跳跃能力下降,这个从我的角度来说不是骨折,这个是一个退行性的关节病变,小时候这个猫的腿应该是受伤,他的腿一长一短就意味着它的生长板过早的停止了发育,这应该在小时候的事。
曹元钊
执业兽医师
在这个阶段已经是关节病变了,如果不考虑手术的话,那么可以考虑吃点药对症治疗。
从到我们家她后腿就是兔子跳,跑起来后腿同时跳,有没有骨肿瘤的可能性,我害怕是恶性肿瘤之类的,如果是肿瘤是不是要活检,活检会不会导致恶性细胞的转移。又或者核磁能不能查出来她具体的问题。
曹元钊
执业兽医师
如果是肿瘤就一定要活检的,活检本身造成转移的可能性并不高,核磁我觉得意义不是很大。另外这个也已经一年了,我认为肿瘤的可能性非常低。
她是去年十月已经长短腿了。现在发给您的片子是6月份和10月份的两个片子的对照,也就是四个月的时间差,四个月她从图一发展到图二,您看这种情况骨肿瘤概率不会高吗,那如果只是退行性关节病,应该怎么改善,她现在应该很疼,我家有一只折耳一直在吃含msm的*****,之前给小花也吃了,她这种情况我不知道能还能不能吃这些。您给建议一下用药和我后续需要的检查吧
曹元钊
执业兽医师
是的,我认为骨肿瘤概率不高,我建议先期的对症治疗方案如下,后期你可以考虑做个核磁,或者你做个CT,你看一下骨骼的软骨情况。还可以考虑做个细针抽吸抽搐关节的一些液体,然后做个检查。
建议方案 ***一天一次,每次20毫克,口服14天,****一天一次,每次0.3毫升,首次加倍口服14天,关节的营养药一天两次,每次一片,口服一个月。
好的谢谢您的建议,还有个问题请教您,如果退行性关节炎严重会怎样,如果考虑手术介入是截肢吗还是其他的一些方式?
曹元钊
执业兽医师
如果特别严重的话,是可以考虑在关节镜下然后看能不能把一些骨赘能清理一下就清理一下。或者还可以考虑关节腔注射。像是一些截骨术不太建议,因为本来他有问题的那条腿就短了。再做手术压力太大。
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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