幼犬髋关节发育不良的管理与手术治疗CanineHipDysplasia.PDFVIP

幼犬髋关节发育不良的管理与 手术治疗 Canine Hip Dysplasia Management and Surgery 吴仲恒 Zhongheng Wu 广州yy宠物医院 华南农业大学兽医学院 Guangzhou YY Pet Hospital College of Veterinary Medicine South China Agricultural University 大纲Outline • 1犬髋关节发育不良的发病机制 1. Pathogenesis of canine hip dysplasia • 2犬髋关节发育不良的早期诊断方法与评级 2.Early diagnosis and evaluation of canine hip dysplasia • 3犬髋关节发育不良的非手术管理 3. Non-surgical management of canine hip dysplasia • 4犬髋关节发育不良的早期手术 4. Early stage canine hip dysplasia surgery • 5犬髋关节发育不良的后期手术 5. Late stage canine hip dysplasia surgery • 6手术结果与并发症 6. Operation results and complications • 7手术并发症的管理 7. Management of complications 1CHD发病机理 1CHD Pathogenesis 2017-7-27 正常的髋关节 髋关节发育不良 Normal Hip Hip Dysplasia 正常的髋关节 髋关节发育不良 Normal Hip Hip Dysplasia 髋关节发育不良 Hip Dysplasia 一定有 Must have…. ✓ 在年幼就有，伴随终生发展的疾病 been present at young age, with lifelong developing diseases ✓ 髋关节-股骨头不稳定和畸形 hip-femoral head unstable and deformity ✓ 关节结构不协调导致不能很好地承受体重 discordant j oint structure that results in lack of ability to bear body weight ✓ 引起关节形态学的改变 morphological changes of the j oint ✓ 关节软骨破坏 髋关节发育不良 Hip Dysplasia 结论Conclusion ✓ 不正常的关节软骨 Abnormal cartilage ✓ 关节炎和进行性的关节纤维化坏死 Arthritis and prog ressive fibrosis necrosis in j oint ✓ 关节活动幅度下降 Decreased j oint mobility ✓ 慢性疼痛和生活质量差 Chronic pain and poor life quality ✓ 需要外科手术或者需要长期的药物治疗