腹部檢查 肛門腺觸診與擠壓（寵物臨床檢查技術(shù)）

《肛門腺觸診與擠壓》AnalSacPalpationandExpression授課專業(yè)：動物醫(yī)學Outline2023/5/27《寵物臨床檢查技術(shù)》課件2PURPOSETopalpateandassesstheanalsacs,aswellastoexpresstheircontents觸診并評估肛門囊腺，同時擠出內(nèi)容物2023/5/27《寵物臨床檢查技術(shù)》課件3INDICATIONS1.Analsacsshouldbepalpatedaspartofaroutinephysicalexaminationindogs,andiftheyarefulltheyshouldbeemptied觸診犬肛門囊腺視為常規(guī)理學檢查之一，若囊腺是滿的應(yīng)清空。

2023/5/27《寵物臨床檢查技術(shù)》課件42.Dogswithfullorinflamedanalsacswilloften“scoot”acrossthefloororlickattheiranalregion.Thesebehaviorssuggestthattheanalsacsshouldbeevaluated若狗的肛門囊腺腫脹或發(fā)炎，通常會出現(xiàn)肛門摩擦地面，及舔肛門區(qū)域，出現(xiàn)此行為時，應(yīng)評估其肛門囊腺的問題。

3.Amass(neoplasticorabscess)mayoccurinassociationwiththeanalsacs可能與肛門囊腺有關(guān)的腫塊（腫瘤或潰瘍）2023/5/27《寵物臨床檢查技術(shù)》課件5CONTRAINDICATIONSANDWARNINGSNone無2023/5/27《寵物臨床檢查技術(shù)》課件6EQUIPMENT?Latexglove橡膠手套

?Lubricatingjelly潤滑劑

?Gauzesponges紗布棉2023/5/27《寵物臨床檢查技術(shù)》課件7POSITIONINGANDRESTRAINTTheanimalshouldberestrainedinastandingpositiononatableandshouldbesupportedundertheabdomenbytheassistant,topreventsittingandminimizemovement.應(yīng)以站姿保定動物于桌上，且由助手支撐腹部，防止坐下并減少移動。2023/5/27《寵物臨床檢查技術(shù)》課件8Restraintofadogforanalsacpalpation2023/5/27《寵物臨床檢查技術(shù)》課件9SPECIALANATOMYTheanalsacsarelocatedatfiveandseveno’clockrelativetotheanus肛門囊腺位于肛門5點鐘與7點鐘方向2023/5/27《寵物臨床檢查技術(shù)》課件10TECHNIQUE1.Insertaglovedandlubricatedindexfingerintotherectumandpalpatetheanalregionandrectumforanyabnormalities.將已經(jīng)戴上手套及潤滑過的食指觸診肛門區(qū)域及直腸，發(fā)現(xiàn)是否有任何異常。2023/5/27《寵物臨床檢查技術(shù)》課件112.Identifytheanalsacsatfiveandseveno’clockandpalpateeachonebetweentheindexfingerinsidetherectumandthethumbintheperinealregion.找出位于5點與7點鐘方向的肛門囊腺，并以食指在直腸內(nèi)分別觸診，并以拇指在肛門周圍區(qū)域觸診。2023/5/27《寵物臨床檢查技術(shù)》課件123.Iftheanalsacsaretobeexpressed,placeagauzespongeorotherabsorbentmaterialovertheanalsacopeningattheanorectalmarginandgentlybutfirmlysqueezetheanalsacfromtheventralsurfacetowardtheanalsacopeninguntilitisempty.若需擠壓肛門囊腺，將紗布棉或其它可吸水的材料，置于肛囊腺開口處。在肛門直腸邊緣，施以輕柔但穩(wěn)定的力量，由腹側(cè)往肛門囊腺開口擠壓，直到清空為止。2023/5/27《寵物臨床檢查技術(shù)》課件13Squeezingtheanalsacgentlybutfirmlyfromtheventralsurfacetowardtheanalsacopeningtoexpressitscontents.施以輕柔但穩(wěn)定力量，由腹側(cè)往肛門囊腺開口擠壓內(nèi)容物2023/5/27《寵物臨床檢查技術(shù)》課件144.Normalanalsaccontentscanvaryincolorandconsistency.Mostoftenthesecretionsareyellow,gray,orbrown.正常的肛門囊腺液體顏色及硬度各不相同，最常見的分泌物顏色為黃色、灰色或棕色2023/5/27《寵物臨床檢查技術(shù)》課件155.Palpatetheemptyanalsacforanythickeningsor