Burgess Brandy A, Hendrick Steve H, Pollock Colleen M, Abutarbush Sameeh M, Vogstad Amanda, Jim G Kee, Booker Calvin W
Department of Large Animal Clinical Sciences, Western College of Veterinary Medicine, University of Saskatchewan, Saskatoon, Saskatchewan.
Can J Vet Res. 2011 Oct;75(4):254-60.
The purpose of this study was to develop a percutaneous lung biopsy technique to be used on steers in a commercial feedlot setting. Thirty-four crossbred steer and heifer calves from a commercial feedlot in southern Alberta were used in this study. The calves originated from the auction market and all were chronically affected with bovine respiratory disease (BRD). A technique was developed to obtain a lung sample from the right cranioventral lung lobe, intercostal space (ICS) 2, using a manual or an automatic biopsy instrument with a 14- or 12-gauge (ga) biopsy needle. Overall, lung parenchyma was successfully harvested in 55.9% of experimental animals and in 55.0% of lung biopsy trials. Compared with postmortem diagnosis, the biopsy resulted in the same pathologic diagnosis for 75% of biopsy samples when evaluated using standardized criteria by the same veterinary pathologist. The success rate was 61.5% and 42.9% in a hospital or field setting, respectively. With an automatic instrument, lung was recovered from 57.9% and 37.5% of samples obtained using a 12- or 14-ga biopsy needle, respectively. One experimental animal or 2.9% of the total had fatal complications from the procedure. In a commercial feedlot setting, the procedure took 20 min for each animal. Percutaneous lung biopsy of the right cranioventral lung lobe may be a viable technique when used on feedlot steers affected with chronic pneumonia. These findings suggest that using an automatic instrument with either a 14- or 12-ga biopsy needle may yield lung samples that are suitable for histopathological evaluation. However, this technique needs to be further evaluated in a field setting.
本研究的目的是开发一种经皮肺活检技术,用于商业饲养场环境中的育肥牛。本研究使用了来自艾伯塔省南部一个商业饲养场的34头杂交育肥牛和小母牛犊。这些牛犊来自拍卖市场,均长期患有牛呼吸道疾病(BRD)。开发了一种技术,使用带有14号或12号活检针的手动或自动活检器械,从右侧颅腹侧肺叶、第2肋间间隙(ICS)获取肺样本。总体而言,在55.9%的实验动物和55.0%的肺活检试验中成功采集到了肺实质。与死后诊断相比,当由同一位兽医病理学家使用标准化标准进行评估时,75%的活检样本的活检结果与病理诊断相同。在医院或现场环境中,成功率分别为61.5%和42.9%。使用自动器械时,分别从使用12号或14号活检针获取的样本中57.9%和37.5%的样本中获取到了肺组织。1只实验动物(占总数的2.9%)因该操作出现致命并发症。在商业饲养场环境中,每只动物的操作耗时20分钟。对患有慢性肺炎的育肥牛进行右侧颅腹侧肺叶的经皮肺活检可能是一种可行的技术。这些发现表明,使用带有14号或12号活检针的自动器械可能会获取到适合组织病理学评估的肺样本。然而,该技术需要在现场环境中进一步评估。