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绝育后患有难治性尿失禁的雌性犬的临床和影像学检查结果与尿动力学检查结果的比较

Clinical and radiographic findings compared with urodynamic findings in neutered female dogs with refractory urinary incontinence.

作者信息

Nickel R F, Vink-Noteboom M, van den Brom W E

机构信息

Department of Clinical Sciences of Companion Animals, Faculty of Veterinary Medicine, University of Utrecht, The Netherlands.

出版信息

Vet Rec. 1999 Jul 3;145(1):11-5. doi: 10.1136/vr.145.1.11.

Abstract

Possible correlations were investigated between the clinical and urodynamic findings in 77 neutered female dogs with urinary incontinence refractory to standard medical management. The clinical data used in the analysis were age, bodyweight, breed, the characteristics of the dribbling of urine and whether it developed before or after neutering, the type of response to previous treatments, signs of polyuria/polydipsia, and the results of urinalysis and culture. In 50 of the dogs, a standardised contrast radiographic examination was made to locate the neck of the bladder and to assess the morphology of the bladder. These findings were analysed for their correlation with the results of multichannel urethral pressure profilometry and diuresis cysto-urethrometry. Logistic regression analysis revealed that neither the clinical nor the radiographic findings could predict any of the abnormal urodynamic findings. Functional abnormalities of the bladder, such as a low compliance, detrusor instability, or a low bladder capacity may therefore be particularly difficult to detect in dogs with urinary incontinence.

摘要

对77只绝育后出现尿失禁且对标准药物治疗无效的雌性犬的临床和尿动力学检查结果之间可能存在的相关性进行了研究。分析中使用的临床数据包括年龄、体重、品种、滴尿特征以及绝育前后是否出现滴尿、对先前治疗的反应类型、多尿/多饮症状、尿液分析和培养结果。对其中50只犬进行了标准化的造影X线检查,以定位膀胱颈并评估膀胱形态。分析这些结果与多通道尿道压力测定和利尿性膀胱尿道测压结果之间的相关性。逻辑回归分析显示,临床检查结果和影像学检查结果均无法预测任何异常尿动力学检查结果。因此,膀胱功能异常,如顺应性低、逼尿肌不稳定或膀胱容量低,在患有尿失禁的犬中可能特别难以检测到。

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