Kennedy Stephanie M, Lulich Jody P, Ritt Michelle G, Furrow Eva
J Am Vet Med Assoc. 2016 Dec 1;249(11):1274-1280. doi: 10.2460/javma.249.11.1274.
OBJECTIVE To compare body condition score (BCS) and urinalysis variables between dogs with and without calcium oxalate (CaOx) uroliths. DESIGN Case-control study. ANIMALS 46 Miniature Schnauzers, 16 Bichons Frises, and 6 Shih Tzus. PROCEDURES Medical records were reviewed for Miniature Schnauzers, Bichons Frises, and Shih Tzus that were examined between January 2001 and November 2014 for another urolithiasis study or for a urolith removal procedure. Dogs with CaOx uroliths were classified as cases. Dogs without a history of urinary tract disease and with no evidence of radiopaque uroliths on abdominal radiographs were classified as controls. Each case was matched with 1 control on the basis of age (± 2 years), sex, and breed. Body condition score and urinalysis results were compared between cases and controls, and the relationship between BCS and urine pH was analyzed. RESULTS Median BCS was significantly greater for cases than controls, although the proportion of overweight dogs did not differ significantly between the 2 groups. Urine pH was negatively associated with age, but was not associated with BCS or the presence of CaOx uroliths. Cases infrequently had acidic urine or CaOx crystalluria but frequently had hematuria and proteinuria. CONCLUSIONS AND CLINICAL RELEVANCE Results indicated that dogs with CaOx uroliths had a greater median BCS than control dogs, but the clinical importance of that finding was unclear. Acidic urine and CaOx crystalluria were uncommon and not adequate predictors of CaOx urolith status. Hematuria and proteinuria were commonly observed in dogs with CaOx urolithiasis, but they are not pathognomonic for that condition.
目的 比较患有和未患有草酸钙(CaOx)尿石症的犬只的体况评分(BCS)和尿液分析指标。 设计 病例对照研究。 动物 46 只迷你雪纳瑞犬、16 只比熊犬和 6 只西施犬。 程序 回顾了 2001 年 1 月至 2014 年 11 月期间因另一项尿石症研究或尿石清除手术而接受检查的迷你雪纳瑞犬、比熊犬和西施犬的病历。患有 CaOx 尿石症的犬只被分类为病例组。没有泌尿道疾病史且腹部 X 光片上没有不透射线尿石证据的犬只被分类为对照组。每个病例根据年龄(±2 岁)、性别和品种与 1 只对照犬匹配。比较病例组和对照组之间的体况评分和尿液分析结果,并分析 BCS 与尿液 pH 值之间的关系。 结果 病例组的中位 BCS 显著高于对照组,尽管两组中超重犬只的比例没有显著差异。尿液 pH 值与年龄呈负相关,但与 BCS 或 CaOx 尿石症的存在无关。病例组很少有酸性尿液或草酸钙结晶尿,但经常有血尿和蛋白尿。 结论及临床意义 结果表明,患有 CaOx 尿石症的犬只的中位 BCS 高于对照犬,但该发现的临床重要性尚不清楚。酸性尿液和草酸钙结晶尿不常见,也不是 CaOx 尿石症状态的充分预测指标。血尿和蛋白尿在患有 CaOx 尿石症的犬只中常见,但它们并非该病症的特征性表现。