授课专业动物医学李尚同39课件.pptxVIP

《肛门腺触诊与挤压》AnalSacPalpationandExpression授课专业：动物医学主讲人：李尚同

Outline2025/10/15《宠物临床检查技术》课件2

PURPOSETopalpateandassesstheanalsacs,aswellastoexpresstheircontents触诊并评估肛门囊腺，同时挤出内容物2025/10/15《宠物临床检查技术》课件3

INDICATIONS1.Analsacsshouldbepalpatedaspartofaroutinephysicalexaminationindogs,andiftheyarefulltheyshouldbeemptied触诊犬肛门囊腺视为常规理学检查之一，若囊腺是满的应清空。

2025/10/15《宠物临床检查技术》课件4

2.Dogswithfullorinflamedanalsacswilloften“scoot”acrossthefloororlickattheiranalregion.Thesebehaviorssuggestthattheanalsacsshouldbeevaluated若狗的肛门囊腺肿胀或发炎，通常会出现肛门摩擦地面，及舔肛门区域，出现此行为时，应评估其肛门囊腺的问题。

3.Amass(neoplasticorabscess)mayoccurinassociationwiththeanalsacs可能与肛门囊腺有关的肿块（肿瘤或溃疡）2025/10/15《宠物临床检查技术》课件5

CONTRAINDICATIONSANDWARNINGSNone无2025/10/15《宠物临床检查技术》课件6

EQUIPMENT?Latexglove橡胶手套

?Lubricatingjelly润滑剂

?Gauzesponges纱布棉2025/10/15《宠物临床检查技术》课件7

POSITIONINGANDRESTRAINTTheanimalshouldberestrainedinastandingpositiononatableandshouldbesupportedundertheabdomenbytheassistant,topreventsittingandminimizemovement.应以站姿保定动物于桌上，且由助手支撑腹部，防止坐下并减少移动。2025/10/15《宠物临床检查技术》课件8

Restraintofadogforanalsacpalpation2025/10/15《宠物临床检查技术》课件9

SPECIALANATOMYTheanalsacsarelocatedatfiveandseveno’clockrelativetotheanus肛门囊腺位于肛门5点钟与7点钟方向2025/10/15《宠物临床检查技术》课件10

TECHNIQUE1.Insertaglovedandlubricatedindexfingerintotherectumandpalpatetheanalregionandrectumforanyabnormalities.将已经戴上手套及润滑过的食指触诊肛门区域及直肠，发现是否有任何异常。2025/10/15《宠物临床检查技术》课件11

2.Identifytheanalsacsatfiveandseveno’clockandpalpateeachonebetweentheindexfingerinsidetherectumandthethumbintheperinealregion.找出位于5点与7点钟方向的肛门囊腺，并以食指在直肠内分别触诊，并以拇指在肛门周围区域触诊。2025/10/15《宠物临床检查技术》课件12

3.Iftheanalsacsaretobeexpressed,placeagauzespongeorotherabsorbentmaterialovertheanalsacopeningattheanorectalmarginandgentlybutfirmlysqueezetheanalsacfromtheventralsurfacetowardtheanalsacopeninguntilitisemp