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利用彩色多普勒超声评估犬输尿管喷流情况。

Evaluation of the ureteral jet in dogs by using color Doppler ultrasonography.

作者信息

Oh Hyunjung, Kim Seongsoo, Kim Suyeon, Lee Jeosoon, Yun Sookyung, Yoon Junghee, Jung Joohyun, Choi Mincheol

机构信息

Department of Veterinary Medical Imaging, College of Veterinary Medicine, Seoul National University, Seoul 08826, Korea.

Ilsan Animal Medical Center, Goyang 10368, Korea.

出版信息

J Vet Sci. 2017 Sep 30;18(3):399-406. doi: 10.4142/jvs.2017.18.3.399.

DOI:10.4142/jvs.2017.18.3.399
PMID:28057900
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5639093/
Abstract

Ureteral jets are the result of a forceful ejection of urine from the vesicoureteral junction into the urinary bladder. By using color Doppler ultrasonography (US), we aimed to identify distinct ureteral jets in dogs, provide insight into ureteral obstruction, and facilitate study of urodynamics and vesicoureteric sphincter function via pulsed Doppler US. Color Doppler US was applied to detect urinary flow from the right ureteral orifices in eight healthy beagles. Under anesthesia, 0.9% saline (2.5 mL/kg/h) and furosemide (0.5 mg/kg) were administered intravenously to assist in detection of distinct ureteral jets and examine their frequency, velocity, duration, and waveform. In all dogs, ureteral jets were visualized under diuresis and anesthesia within 2 to 5 min (mean 3.57 ± 0.90 min) of the furosemide injection. Mean frequency, peak velocity, and duration of right ureteral jets in seven dogs in whom six ureteral jet waveform patterns were identified were 9.86 ± 3.09 jets/min, 34.07 ± 10.02 cm/sec, and 2.82 ± 1.08 sec, respectively. During the 10 min period starting 10 min after the initial jet appeared, only three waveforms were identified. Color Doppler US of ureteral jets may aid in assessing vesicoureteric sphincter function and ureteral abnormalities, such as ureteral obstruction, in dogs.

摘要

输尿管喷流是尿液从膀胱输尿管连接处强力喷射入膀胱的结果。通过使用彩色多普勒超声(US),我们旨在识别犬类中不同的输尿管喷流,深入了解输尿管梗阻,并通过脉冲多普勒超声促进对尿动力学和膀胱输尿管括约肌功能的研究。对八只健康的比格犬应用彩色多普勒超声检测右侧输尿管口的尿流。在麻醉状态下,静脉注射0.9%生理盐水(2.5 mL/kg/h)和呋塞米(0.5 mg/kg),以协助检测不同的输尿管喷流,并检查其频率、速度、持续时间和波形。在所有犬中,在注射呋塞米后2至5分钟(平均3.57±0.90分钟)的利尿和麻醉状态下可观察到输尿管喷流。在七只识别出六种输尿管喷流波形模式的犬中,右侧输尿管喷流的平均频率、峰值速度和持续时间分别为9.86±3.09次/分钟、34.07±10.02厘米/秒和2.82±1.08秒。在最初的喷流出现后10分钟开始的10分钟期间,仅识别出三种波形。输尿管喷流的彩色多普勒超声可能有助于评估犬类的膀胱输尿管括约肌功能和输尿管异常,如输尿管梗阻。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/137f/5639093/3e587f6a23ff/jvs-18-399-g009.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/137f/5639093/09dcf352659f/jvs-18-399-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/137f/5639093/a5625c86f9e3/jvs-18-399-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/137f/5639093/456bded7ab1f/jvs-18-399-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/137f/5639093/977f637937fd/jvs-18-399-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/137f/5639093/252efa946a31/jvs-18-399-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/137f/5639093/06aa529cf569/jvs-18-399-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/137f/5639093/d22744b05633/jvs-18-399-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/137f/5639093/006e9890494b/jvs-18-399-g008.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/137f/5639093/3e587f6a23ff/jvs-18-399-g009.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/137f/5639093/09dcf352659f/jvs-18-399-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/137f/5639093/a5625c86f9e3/jvs-18-399-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/137f/5639093/456bded7ab1f/jvs-18-399-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/137f/5639093/977f637937fd/jvs-18-399-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/137f/5639093/252efa946a31/jvs-18-399-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/137f/5639093/06aa529cf569/jvs-18-399-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/137f/5639093/d22744b05633/jvs-18-399-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/137f/5639093/006e9890494b/jvs-18-399-g008.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/137f/5639093/3e587f6a23ff/jvs-18-399-g009.jpg

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本文引用的文献

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Doppler waveforms of the ureteric jet: an overview and implications for the presence of a functional sphincter at the vesicoureteric junction.输尿管喷射的多普勒波形:概述及对膀胱输尿管连接部功能性括约肌存在的意义
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Clinical utility of ureteral jets: disparate opinions.输尿管喷流的临床效用:不同观点。
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Doppler sonography in the diagnosis of urinary tract obstruction by stone.多普勒超声检查在尿路结石梗阻诊断中的应用
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Transrectal ultrasonography of distal ureteral calculi: comparison with intravenous urography.远端输尿管结石的经直肠超声检查:与静脉肾盂造影的比较
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[The color Doppler US evaluation of the ureteral jet in patients with urinary colic].[彩色多普勒超声对肾绞痛患者输尿管喷射的评估]
Radiol Med. 1998 Jun;95(6):614-7.
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