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犬气管塌陷和颈段肺疝的荧光镜检查特征:222例(2012 - 2015年)

Fluoroscopic characteristics of tracheal collapse and cervical lung herniation in dogs: 222 cases (2012-2015).

作者信息

Lee Jeosoon, Yun Sookyung, Lee Inhyung, Choi Mincheol, Yoon Junghee

机构信息

College of Veterinary Medicine and the Research Institute for Veterinary Science, Seoul National University, Seoul 08826, Korea.

出版信息

J Vet Sci. 2017 Dec 31;18(4):499-505. doi: 10.4142/jvs.2017.18.4.499.

Abstract

This retrospective study included 222 dogs suspected to have tracheal collapse (TC) and examined between 1 January 2012 and 31 December 2015. Fluoroscopic and radiographic images and medical records were evaluated to investigate the fluoroscopic characteristics of TC and cervical lung herniation (CLH), and to determine their relationships to various influencing. Grade of TC, existence of tracheal kinking, location of CLH (right or left side), and grade of CLH were evaluated fluoroscopically. One hundred ninety-nine dogs (89.6%) were diagnosed with TC. Presence of TC was not associated with the patients' cough history; however, CLH was positively correlated with cough history (odds ratio [OR], 2.896; 95% confidence interval [CI], 1.556 to 5.390) and was affected by tracheal kinking (OR, 3.841; 95% CI, 1.884 to 7.831). Chronic cough was not related with CLH. Since TC can be observed in patients without a history of cough, presence of TC should be ruled out by using physical examination and diagnostic imaging. Although CLH is associated with a history of cough, it is a common appearance in dogs, and transient coughing can elicit CLH in patients without a history of cough.

摘要

这项回顾性研究纳入了2012年1月1日至2015年12月31日期间检查的222只疑似患有气管塌陷(TC)的犬只。对透视和放射影像以及病历进行评估,以研究TC和颈肺疝(CLH)的透视特征,并确定它们与各种影响因素的关系。通过透视评估TC的分级、气管扭结的存在、CLH的位置(右侧或左侧)以及CLH的分级。199只犬(89.6%)被诊断为TC。TC的存在与患者的咳嗽史无关;然而,CLH与咳嗽史呈正相关(优势比[OR],2.896;95%置信区间[CI],1.556至5.390),并且受气管扭结的影响(OR,3.841;95%CI,1.884至7.831)。慢性咳嗽与CLH无关。由于在无咳嗽史的患者中也可观察到TC,因此应通过体格检查和诊断性影像学检查排除TC的存在。虽然CLH与咳嗽史有关,但它在犬中是一种常见表现,并且短暂咳嗽可在无咳嗽史的患者中引发CLH。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e2df/5746443/c8adf156500f/jvs-18-499-g001.jpg

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