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初诊犬尸检时慢性胰腺炎的患病率及品种分布

Prevalence and breed distribution of chronic pancreatitis at post-mortem examination in first-opinion dogs.

作者信息

Watson P J, Roulois A J A, Scase T, Johnston P E J, Thompson H, Herrtage M E

机构信息

Department of Veterinary Medicine, University of Cambridge, Madingley Road, Cambridge CB3 0ES, UK.

出版信息

J Small Anim Pract. 2007 Nov;48(11):609-18. doi: 10.1111/j.1748-5827.2007.00448.x. Epub 2007 Aug 13.

Abstract

OBJECTIVES

To assess the prevalence of canine chronic pancreatitis in first-opinion practice and identify breed associations or other risk factors.

METHODS

Three sections of pancreas were taken from 200 unselected canine post-mortem examinations from first-opinion practices. Sections were graded for inflammation, fibrosis and other lesions. Prevalence and relative risks of chronic pancreatitis and other pancreatic diseases were calculated.

RESULTS

The prevalence of chronic pancreatitis was 34 per cent omitting the autolysed cases. Cavalier King Charles spaniels, collies and boxers had increased relative risks of chronic pancreatitis; cocker spaniels had an increased relative risks of acute and chronic pancreatitis combined. Fifty-seven per cent of cases of chronic pancreatitis were classified histologically as moderate or marked. Forty-one per cent of cases involved all three sections. Dogs with chronic pancreatitis were more commonly female and overweight, but neither factor increased the relative risk of chronic pancreatitis. There were breed differences in histological appearances and 24.5 per cent of cases were too autolysed to interpret with an increased relative risk of autolysis in a number of large breeds.

CLINICAL SIGNIFICANCE

Chronic pancreatitis is a common, under-estimated disease in the first-opinion dog population with distinctive breed risks and histological appearances.

摘要

目的

评估初诊兽医临床中犬慢性胰腺炎的患病率,并确定品种相关性或其他风险因素。

方法

从200例未经挑选的初诊兽医临床犬类尸检中获取三段胰腺组织。对组织切片进行炎症、纤维化及其他病变分级。计算慢性胰腺炎及其他胰腺疾病的患病率和相对风险。

结果

排除自溶病例后,慢性胰腺炎的患病率为34%。查理士王小猎犬、柯利牧羊犬和拳师犬患慢性胰腺炎的相对风险增加;可卡犬患急性和慢性胰腺炎的综合相对风险增加。57%的慢性胰腺炎病例在组织学上被分类为中度或重度。41%的病例累及所有三段胰腺组织。患慢性胰腺炎的犬更常见于雌性且超重,但这两个因素均未增加慢性胰腺炎的相对风险。组织学表现存在品种差异,24.5%的病例自溶严重无法解读,一些大型犬品种的自溶相对风险增加。

临床意义

慢性胰腺炎在初诊犬类群体中是一种常见但被低估的疾病,具有独特的品种风险和组织学表现。

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