宠物腹部检查-直肠与肛门囊腺检查技术（宠物临床检查技术课件）

《肛门腺触诊与挤压》AnalSacPalpationandExpressionOutline2023/9/15《宠物临床检查技术》课件2PURPOSETopalpateandassesstheanalsacs,aswellastoexpresstheircontents触诊并评估肛门囊腺，同时挤出内容物2023/9/15《宠物临床检查技术》课件3INDICATIONS1.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。

2023/9/15《宠物临床检查技术》课件42.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）2023/9/15《宠物临床检查技术》课件5CONTRAINDICATIONSANDWARNINGSNone无2023/9/15《宠物临床检查技术》课件6EQUIPMENT•Latexglove橡胶手套

•Lubricatingjelly润滑剂

•Gauzesponges纱布棉2023/9/15《宠物临床检查技术》课件7POSITIONINGANDRESTRAINTTheanimalshouldberestrainedinastandingpositiononatableandshouldbesupportedundertheabdomenbytheassistant,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。2023/9/15《宠物临床检查技术》课件8Restraintofadogforanalsacpalpation2023/9/15《宠物临床检查技术》课件9SPECIALANATOMYTheanalsacsarelocatedatfiveandseveno’clockrelativetotheanus肛门囊腺位于肛门5点钟与7点钟方向2023/9/15《宠物临床检查技术》课件10TECHNIQUE1.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。2023/9/15《宠物临床检查技术》课件112.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。2023/9/15《宠物临床检查技术》课件123.Iftheanalsacsaretobeexpressed,placeagauzespongeorotherabsorbentmaterialovertheanalsacopeningattheanorectalmarginandgentlybutfirmlysqueezetheanalsacfromtheventralsurfacetowardtheanalsacopeninguntilitisempty.若需挤压肛门囊腺，将纱布棉或其它可吸水的材料，置于肛囊腺开口处。在肛门直肠边缘，施以轻柔但稳定的力量，由腹侧往肛门囊腺开口挤压，直到清空为止。2023/9/15《宠物临床检查技术》课件13Squeezingtheanalsacgentlybutfirmlyfromtheventralsurfacetowardtheanalsacopeningtoexpressitscontents.施以轻柔但稳定力量，由腹侧往肛门囊腺开口挤压内容物2023/9/15《宠物临床检查技术》课件144.Normalanalsaccontentscanvaryincolorandconsistency.Mostoftenthesecretionsareyellow,gray,orbrown.正常的肛门囊腺液体颜色及硬度各不相同，最常见的分泌物颜色为黄色、灰色或棕色2023/9/15《宠物临床检查技术》课件155.Palpatethe