Beccati F, Pepe M, Gialletti R, Cercone M, Bazzica C, Nannarone S
Centro di Studi del Cavallo Sportivo, Dipartimento di Patologia, Diagnostica e Clinica Veterinaria, Ospedale Veterinario Universitario Didattico, Università degli Studi di Perugia, Italy.
Equine Vet J Suppl. 2011 Aug(39):98-105. doi: 10.1111/j.2042-3306.2011.00428.x.
Abdominal ultrasonography has become a part of the diagnostic investigation for the acute abdomen in many equine clinics. There is limited information on the correlation between abnormalities detected on abdominal ultrasonography and the specific category of small intestine (SI) and large intestine (LI) diseases.
To investigate the relationship between abdominal ultrasonographic findings and disease categories that cause abdominal pain requiring surgery.
Medical records were reviewed for horses undergoing surgery or post mortem examination for colic. The ultrasound examination was performed to assess free peritoneal fluid, the left kidney, stomach, appearance and motility of the duodenum, identification, appearance, motility and thickness of small intestine loops, and the appearance and motility of the colon. Logistic regression analysis was used to identify associations between disease categories and ultrasonographic findings; a Chi-squared test was used to test for associations between each variable and disease categories.
The study included 158 horses. Distended and nonmotile SI loops were associated with strangulated obstruction (n = 45); increased free peritoneal fluid, completely distended SI loops with abnormal motility and thickened loops were associated with definitive diagnosis involving SI (n = 58). Failure to visualise the left kidney was associated with renosplenic entrapment (n = 16); thickened large colon (LC) was associated with LC strangulating volvulus (n = 9).
The use of abdominal ultrasonography can be used for the accurate definitive diagnosis involving SI and LI diseases.
This retrospective study may be used as a basis for prospective studies to assess the ultrasonographic findings in horses with medical colic and to compare these with surgical findings.
在许多马诊所中，腹部超声检查已成为急腹症诊断检查的一部分。关于腹部超声检查发现的异常与小肠（SI）和大肠（LI）疾病特定类别之间的相关性信息有限。
研究腹部超声检查结果与导致腹痛需手术治疗的疾病类别之间的关系。
回顾接受手术或因绞痛进行尸检的马匹的病历。进行超声检查以评估游离腹腔积液、左肾、胃、十二指肠的外观和蠕动、小肠袢的识别、外观、蠕动和厚度，以及结肠的外观和蠕动。采用逻辑回归分析确定疾病类别与超声检查结果之间的关联；采用卡方检验检验每个变量与疾病类别之间的关联。
该研究纳入了158匹马。扩张且无蠕动的小肠袢与绞窄性梗阻相关（n = 45）；游离腹腔积液增加、完全扩张且蠕动异常及肠袢增厚与涉及小肠的明确诊断相关（n = 58）。未能看到左肾与肾脾陷闭相关（n = 16）；大肠增厚与大肠绞窄性肠扭转相关（n = 9）。
腹部超声检查可用于准确诊断涉及小肠和大肠的疾病。
这项回顾性研究可作为前瞻性研究的基础，以评估患有内科性绞痛马匹的超声检查结果，并将这些结果与手术结果进行比较。
