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幼年耻骨联合固定术后拉布拉多犬和金毛寻回犬骨盆的影像学变化:客观与主观评估

Radiographic changes of the pelvis in Labrador and Golden Retrievers after juvenile pubic symphysiodesis: objective and subjective evaluation.

作者信息

Boiocchi S, Vezzoni L, Vezzoni A, Bronzo V, Rossi F

机构信息

Clinica Veterinaria Vezzoni srl, Cremona, Italy.

出版信息

Vet Comp Orthop Traumatol. 2013;26(3):218-25. doi: 10.3415/VCOT-12-06-0074. Epub 2013 Mar 22.

DOI:10.3415/VCOT-12-06-0074
PMID:23677124
Abstract

OBJECTIVES

The hypothesis of this study was that juvenile pubic symphysiodesis (JPS) results in pelvic changes that can be identified radiographically in adult dogs.

METHODS

The medical records at the Clinica Veterinaria Vezzoni were searched for standard ventro-dorsal views of the pelvis of adult Labrador and Golden Retrievers that had undergone JPS or had not undergone surgery. The objective assessment of radiographs included the analysis of various pelvic measurements. Subjective evaluation of radiographs was undertaken by 18 specialists and 21 general practitioners and was based on five criteria relating to 1) the acetabular fossae, 2) the pubic symphysis, 3) the margin of the cranial pubic area, 4) the pubic rami, and 5) the obturator foramen.

RESULTS

The radiographs of 42 Labrador Retrievers and 16 Golden Retrievers were evaluated. The most useful criteria were the radiographic measurement of the shape of the obturator foramen and two different ratios of length to width of the pubic rami; these values were significantly smaller in dogs after JPS. The pelvic canal width was the same in both groups. All objective measurements were repeatable within and between evaluators. The most reliable subjective criterion was number 4, followed by number 5 in Golden Retrievers and by 2 in Labrador Retrievers.

CONCLUSION

Our objective and subjective evaluations were simple and yielded useful and repeatable results. There was no significant difference between general practitioners and specialists with regard to subjective evaluation, which indicates that these evaluation criteria can be used by small animal clinicians after minimal training.

摘要

目的

本研究的假设是,幼年耻骨联合固定术(JPS)会导致骨盆发生变化,这些变化在成年犬的X线片上可以被识别出来。

方法

检索Clinica Veterinaria Vezzoni的病历,查找接受过JPS或未接受过手术的成年拉布拉多犬和金毛寻回犬骨盆的标准腹背位X线片。对X线片的客观评估包括对各种骨盆测量值的分析。18名专科医生和2名全科医生对X线片进行了主观评估,评估基于与以下五个标准相关的内容:1)髋臼窝,2)耻骨联合,3)耻骨前区边缘,4)耻骨支,5)闭孔。

结果

对42只拉布拉多犬和16只金毛寻回犬的X线片进行了评估。最有用的标准是闭孔形状的X线测量值以及耻骨支的两个不同长宽比;在接受JPS的犬中,这些值明显更小。两组的骨盆管宽度相同。所有客观测量值在评估者之间和评估者内部都是可重复的。最可靠的主观标准是标准4,其次是金毛寻回犬中的标准5和拉布拉多犬中的标准2。

结论

我们的客观和主观评估方法简单,得出了有用且可重复的结果。在主观评估方面,全科医生和专科医生之间没有显著差异,这表明经过最少的培训后,小动物临床医生可以使用这些评估标准。

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