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犬的尿道栓子

Urethral plugs in dogs.

作者信息

Stiller A T, Lulich J P, Furrow E

机构信息

College of Veterinary Medicine, University of Minnesota, St Paul, MN.

出版信息

J Vet Intern Med. 2014 Mar-Apr;28(2):324-30. doi: 10.1111/jvim.12315. Epub 2014 Feb 13.

Abstract

BACKGROUND

Crystalline-matrix urethral plugs have not been previously reported in dogs.

HYPOTHESIS/OBJECTIVES: To report the composition of urethral plugs in dogs, describe clinical features of the disease, and identify overrepresented breeds.

METHODS

Retrospective case series. A Minnesota Urolith Center (MUC) record search was performed for urethral plugs in dogs submitted during a 6-year period. The composition of the plugs and signalment of affected dogs were recorded. Breed risk analysis was performed using a control group without plugs from the Veterinary Medical Center, University of Minnesota (VMC UMN). Breed risk was also calculated for a group of dogs with struvite (plugs and uroliths). Medical records for the subset of plug cases from the VMC UMN were reviewed and described.

RESULTS

Between 2006 and 2011, 42 urethral plugs from dogs were submitted to the MUC. All came from male dogs, and the mineral component of the majority (83%) was struvite. Thirty (71%) samples were from Pugs. Pugs were overrepresented in plug submissions (OR 179; CI 88-389; P < .001), and for struvite in general (OR 14.3; CI 7.9-24.4; P < .001). Nine of the dogs were treated at VMC UMN; all were castrated male Pugs. None of these cases had bacteriuria or positive urine cultures, and no underlying cause of plug formation was identified.

CONCLUSIONS AND CLINICAL IMPORTANCE

When evaluating dogs with urethral obstruction, plugs need to be considered, especially in male Pugs. Further investigation into the underlying cause of plug formation in dogs is warranted.

摘要

背景

此前尚未有犬类结晶基质尿道栓的报道。

假设/目的:报告犬类尿道栓的成分,描述该疾病的临床特征,并确定高发品种。

方法

回顾性病例系列研究。对明尼苏达泌尿结石中心(MUC)6年间接收的犬类尿道栓病例记录进行检索。记录栓子的成分及患病犬的特征。使用明尼苏达大学兽医学院医疗中心(VMC UMN)无尿道栓的犬类作为对照组进行品种风险分析。还计算了一组患有鸟粪石(尿道栓和尿石症)的犬类的品种风险。对VMC UMN中尿道栓病例子集的病历进行回顾和描述。

结果

2006年至2011年期间,42例犬类尿道栓被提交至MUC。所有栓子均来自雄性犬,大多数(83%)的矿物质成分是鸟粪石。30份(71%)样本来自哈巴狗。哈巴狗在尿道栓提交病例中占比过高(比值比179;可信区间88 - 389;P <.001),在一般鸟粪石病例中也是如此(比值比14.3;可信区间7.9 - 24.4;P <.001)。9只犬在VMC UMN接受治疗;均为去势雄性哈巴狗。这些病例均无菌尿或尿培养阳性,且未发现尿道栓形成的确切原因。

结论及临床意义

在评估患有尿道梗阻的犬类时,需要考虑尿道栓,尤其是雄性哈巴狗。有必要进一步研究犬类尿道栓形成的潜在原因。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/445a/4857979/8d569eb08028/JVIM-28-324-g001.jpg

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