我家的伯恩山有嚴重CHD...

[tigerkey]

名字： Tulkas
年齡： 8.5月
犬種： 伯恩山犬
性別： 男
體重： 30kg
發病經過、症狀： 上月開始走路不太正常, 一路走腰會扭動, 左腳有少許跛行, 企立時左腳會吊起不踏實。
醫師的診斷： 嚴重CHD...建議盡快做THR
欲詢問醫生之問題：我知道我家小狗情況很嚴重, 想請問醫生他是不是一定要做THR呢? 兩只腳都做還是只做左邊? 如果不做THR而持續進行保守療法可以嗎?
謝謝醫生解答及提供意見!

[Jeff Wang]

No films are standard OFA film, so it is difficult to give you whether you should let him go for the THR. Further more, I need the walking videoto give you a more accurate advice. If the position of the film was correct, actually, Left hip looks better than the Right side. I need a very careful evaluation before I recommend THR surgery. Even I recommend so, I still prefer to do it at least around 1 year old. At the mean time, you still can use conservative treatment to maintain his muscle and wait for more evaluation. By the way, more than 80% of the dogs with THR only need such a surgery on one side.

Jeff

[艾咪]

翻譯如下；

這沒有一張是標準OFA的片子，所以很難給妳建議是否讓他做THR。另外，我需要走路的影片才能給妳更準確的建議。如果片子姿勢正確，事實上左邊髖關節看起來比右側情況好。在我建議做THR手術之前，我需要非常仔細的評估。即使我建議做，我仍寧可在狗狗至少一歲左右。同時，妳仍可以使用保守療法維持他的肌肉，然後等做更仔細的評估。再者，超過百分之八十的狗狗做THR手術只需要做一測即可。

[tigerkey]

走路的影片1:

http://www.youtube.com/watch?v=B_NB2L0vnaU

走路的影片2:
http://www.youtube.com/watch?v=26dHRRO-lbs

謝謝醫生的幫忙!