Lefebvre J, Kuehn N F, Wortinger A
Department of Internal Medicine, Michigan Veterinary Specialists, 21600 West Eleven Mile Road, Southfield, MI 48076-3709, USA.
J Small Anim Pract. 2005 Jun;46(6):280-5. doi: 10.1111/j.1748-5827.2005.tb00321.x.
To assess the use of computed tomography (CT) in the diagnosis of chronic nasal disease in dogs.
A retrospective study of 85 dogs with chronic nasal discharge due to primary nasal disease, which had undergone nasal CT and biopsy, was carried out. Medical records were reviewed for signalment, clinical signs, CT findings, endoscopic findings and histopathology. The results obtained via CT were correlated with nasal histopathology and gross anatomical observations were recorded at the time of rhinoscopy.
Neoplasia was diagnosed in 37 dogs for which CT typically revealed a soft tissue density associated with extensive turbinate destruction. Inflammatory rhinitis was diagnosed in 40 dogs. CT disclosed either normal turbinate structures or mild to moderate turbinate destruction, with or without the presence of soft tissue densities (mucopus) within the nasal passages. Fungal rhinitis was diagnosed in seven dogs for which CT disclosed extensive turbinate destruction with hyperlucency of the nasal passages. One dog had normal CT and histopathology findings.
CT greatly enhanced the ability to diagnose chronic nasal disease in dogs, providing detailed Information regarding the extent of the disease, accurate discrimination of neoplastic versus non-neoplastic diseases, and identification of areas of the nose to examine rhinoscopically and suspicious regions to target for biopsy.
评估计算机断层扫描(CT)在犬慢性鼻病诊断中的应用。
对85只因原发性鼻病导致慢性鼻分泌物增多且已接受鼻CT检查和活检的犬进行回顾性研究。查阅病历以获取动物特征、临床症状、CT检查结果、内镜检查结果及组织病理学信息。将CT检查结果与鼻组织病理学结果进行关联,并在鼻镜检查时记录大体解剖观察结果。
37只犬被诊断为肿瘤,CT通常显示与广泛鼻甲破坏相关的软组织密度影。40只犬被诊断为炎性鼻炎。CT显示鼻甲结构正常或轻度至中度鼻甲破坏,鼻道内有无软组织密度影(黏液脓性分泌物)。7只犬被诊断为真菌性鼻炎,CT显示广泛的鼻甲破坏及鼻道透亮度增加。1只犬的CT和组织病理学检查结果均正常。
CT大大提高了犬慢性鼻病的诊断能力,提供了有关疾病范围的详细信息,准确区分肿瘤性与非肿瘤性疾病,并确定鼻镜检查的部位以及活检的可疑区域。