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在未绝育和已绝育的雌性犬中,单独给予雌三醇以及雌三醇与苯丙醇胺联合给药后泌尿生殖道下段的尿动力学和形态学变化。

Urodynamic and morphologic changes in the lower portion of the urogenital tract after administration of estriol alone and in combination with phenylpropanolamine in sexually intact and spayed female dogs.

作者信息

Hamaide Annick J, Grand Jean-Guillaume, Farnir Frédéric, Le Couls Gaël, Snaps Frédéric R, Balligand Marc H, Verstegen John P

机构信息

Department of Clinical Sciences, College of Veterinary Medicine, University of Liège, 4000 Liège, Belgium.

出版信息

Am J Vet Res. 2006 May;67(5):901-8. doi: 10.2460/ajvr.67.5.901.

DOI:10.2460/ajvr.67.5.901
PMID:16649928
Abstract

OBJECTIVE

To compare the urodynamic and morphologic effects of the administration of estriol alone and in combination with phenylpropanolamine on the lower portion of the urogenital tract in female dogs.

ANIMALS

3 sexually intact and 3 spayed female Beagles without urinary incontinence.

PROCEDURE

Dogs received estriol (2 mg, PO) once daily for 7 days followed by estriol (2 mg, PO) and phenylpropanolamine (1.5 mg/kg, PO) once daily for 7 days. Urethral pressure profilometry, diuresis cystometry, and vaginourethrography were performed before treatment (day 0) and at days 7 and 14. The maximum urethral pressure (MUP) and closure pressure (MUCP), urethral functional and anatomic profile lengths, integrated pressure (IP), plateau, distance before MUP, maximum meatus pressure, threshold pressure, threshold volume, compliance, urethral length, and vaginal length and width were measured.

RESULTS

Before treatment, no urodynamic differences were observed between the 2 groups; however, vaginal length and width were significantly shorter in spayed dogs. Compared with day 0 values, estriol treatment significantly increased MUP, MUCP, and IP values at day 7, but at day 14, this effect decreased despite phenylpropanolamine administration. No morphologic changes from baseline were detected after either treatment in any dog.

CONCLUSIONS AND CLINICAL RELEVANCE

Data suggest that estriol mainly acts on the urethral sphincter mechanism by increasing urethral resistance in sexually intact and spayed female dogs without urinary incontinence. Administration of estriol and phenylpropanolamine did not increase the urethral resistance more than estriol alone. The urodynamic effects of estriol in female dogs with urinary incontinence remain to be elucidated.

摘要

目的

比较单独使用雌三醇以及雌三醇与苯丙醇胺联合使用对雌性犬泌尿生殖道下段的尿动力学和形态学影响。

动物

3只性成熟和3只已绝育且无尿失禁的雌性比格犬。

方法

犬只连续7天每天口服一次雌三醇(2毫克),之后连续7天每天口服一次雌三醇(2毫克)和苯丙醇胺(1.5毫克/千克)。在治疗前(第0天)以及第7天和第14天进行尿道压力测定、利尿膀胱测压和阴道尿道造影。测量最大尿道压力(MUP)、闭合压力(MUCP)、尿道功能和解剖形态长度、综合压力(IP)、平台期、MUP前距离、最大尿道口压力、阈值压力、阈值容量、顺应性、尿道长度以及阴道长度和宽度。

结果

治疗前,两组之间未观察到尿动力学差异;然而,已绝育犬的阴道长度和宽度明显较短。与第0天的值相比,雌三醇治疗在第7天显著增加了MUP、MUCP和IP值,但在第14天,尽管给予了苯丙醇胺,这种效果仍有所下降。任何一只犬在接受任何一种治疗后均未检测到与基线相比的形态学变化。

结论及临床意义

数据表明,雌三醇主要通过增加性成熟和已绝育且无尿失禁的雌性犬的尿道阻力作用于尿道括约肌机制。与单独使用雌三醇相比,雌三醇与苯丙醇胺联合使用并未进一步增加尿道阻力。雌三醇对有尿失禁的雌性犬的尿动力学影响仍有待阐明。

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