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单独或联合鼻窦镜检查对患有曲霉菌病犬只进行鼻镜检查的结果:46例(2001 - 2004年)

Results of rhinoscopy alone or in conjunction with sinuscopy in dogs with aspergillosis: 46 cases (2001-2004).

作者信息

Johnson Lynelle R, Drazenovich Tracy L, Herrera Melissa A, Wisner Erik R

机构信息

Department of Medicine and Epidemiology, School of Veterinary Medicine, University of California, Davis, CA 95616, USA.

出版信息

J Am Vet Med Assoc. 2006 Mar 1;228(5):738-42. doi: 10.2460/javma.228.5.738.

Abstract

OBJECTIVE

To determine results of diagnostic testing, including detection of nasal or frontal sinus fungal plaques, in dogs with nasal aspergillosis.

DESIGN

Retrospective case series.

ANIMALS

46 dogs with nasal aspergillosis.

PROCEDURES

Medical records were reviewed for information on computed tomographic findings; rhinoscopic findings, including whether fungal plaques were seen in the nasal cavity; results of frontal sinus trephination and sinuscopy, including whether fungal plaques were seen in the frontal sinus; and results of histologic examination of biopsy specimens.

RESULTS

In 38 (83%) dogs, fungal plaques were seen in the nasal cavity during rhinoscopy, whereas in the remaining 8 (17%), fungal plaques were not seen in the nasal cavity but were seen in the frontal sinus. Duration of clinical signs, proportions of dogs in which the referring veterinarian had performed a nasal examination prior to referral, proportions of dogs with computed tomographic evidence of nasal cavity cavitation or sinus involvement, and proportions of dogs with rhinoscopic evidence of destructive rhinitis were not significantly different between dogs with nasal fungal plaques and dogs with fungal plaques only in the frontal sinus.

CONCLUSIONS AND CLINICAL RELEVANCE

Results confirm that frontal sinus involvement is common in dogs with nasal aspergillosis and suggest that frontal sinus trephination and sinuscopy may aid in the diagnosis of aspergillosis in dogs, particularly dogs with rhinoscopic evidence of destructive rhinitis and computed tomographic evidence of sinus involvement that lack detectable fungal plaques in the nasal cavity.

摘要

目的

确定鼻曲霉菌病犬的诊断检测结果,包括鼻或额窦真菌斑块的检测。

设计

回顾性病例系列。

动物

46只鼻曲霉菌病犬。

方法

查阅病历以获取有关计算机断层扫描结果的信息;鼻镜检查结果,包括鼻腔内是否可见真菌斑块;额窦环锯术和鼻窦镜检查结果,包括额窦内是否可见真菌斑块;以及活检标本的组织学检查结果。

结果

在38只(83%)犬中,鼻镜检查时在鼻腔内可见真菌斑块,而其余8只(17%)犬在鼻腔内未见真菌斑块,但在额窦内可见。有鼻腔真菌斑块的犬和仅在额窦有真菌斑块的犬在临床症状持续时间、转诊前转诊兽医进行鼻腔检查的犬的比例、有计算机断层扫描证据显示鼻腔空洞或鼻窦受累的犬的比例以及有鼻镜检查证据显示有破坏性鼻炎的犬的比例方面无显著差异。

结论及临床意义

结果证实额窦受累在鼻曲霉菌病犬中很常见,并表明额窦环锯术和鼻窦镜检查可能有助于犬曲霉菌病的诊断,特别是对于有鼻镜检查证据显示有破坏性鼻炎且有计算机断层扫描证据显示鼻窦受累但鼻腔内未检测到真菌斑块的犬。

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