犬脾切除术后胃扩张-扭转（GDV）发病率的评估。

Assessment of the incidence of GDV following splenectomy in dogs.

作者信息

Goldhammer M A, Haining H, Milne E M, Shaw D J, Yool D A

机构信息

Royal (Dick) School of Veterinary Studies, Division of Veterinary Clinical Sciences, University of Edinburgh, Easter Bush Veterinary Centre, Roslin, Midlothian EH25 9RG.

出版信息

J Small Anim Pract. 2010 Jan;51(1):23-8. doi: 10.1111/j.1748-5827.2009.00844.x.

DOI:10.1111/j.1748-5827.2009.00844.x

PMID:20137005

Abstract

OBJECTIVE

To establish if splenectomy increases the incidence of gastric dilatation and volvulus (GDV) in dogs.

METHODS

Two case-series studies of cases and controls were performed. Records of dogs that had undergone splenectomy (37 cases) were compared with records of dogs that had undergone other abdominal surgery (43 cases). Records of dogs that presented for non-elective gastropexy (33 cases) were compared with records of dogs presented to the hospital for unrelated reasons (39 cases). Survival following splenectomy and development of GDV in the first 12 months following surgery were retrieved from the clinical records and by questionnaire-based canvassing of the referring clinician. The incidence of GDV following splenectomy was established and the association between a current episode of GDV and previous splenectomy was assessed.

RESULTS

There was no evidence that splenectomy was associated with an increased incidence of subsequent GDV (P=0.469). No association between a current episode of GDV and previous splenectomy was found.

CLINICAL SIGNIFICANCE

Splenectomy is not associated with an increase in the incidence of GDV.

摘要

目的

确定脾切除术是否会增加犬胃扩张扭转（GDV）的发生率。

方法

进行了两项病例对照系列研究。将接受脾切除术的犬（37例）的记录与接受其他腹部手术的犬（43例）的记录进行比较。将因非选择性胃固定术就诊的犬（33例）的记录与因无关原因到医院就诊的犬（39例）的记录进行比较。从临床记录以及通过对转诊临床医生进行问卷调查，获取脾切除术后的存活情况以及术后12个月内GDV的发生情况。确定脾切除术后GDV的发生率，并评估当前GDV发作与既往脾切除术之间的关联。