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超声检查显示胃肌层出现无组织高回声条纹的犬只的临床和组织病理学发现。

Clinical and histopathologic findings in dogs with the ultrasonographic appearance of gastric muscularis unorganized hyperechoic striations.

作者信息

Heng Hock Gan, Lim Chee Kin, Steinbach Sarah, Broman Meaghan Maureen, Miller Margaret Allan

机构信息

Department of Veterinary Clinical Sciences, College of Veterinary Medicine, Purdue University, West Lafayette, IN, 47907, USA.

Department of Comparative Pathobiology, College of Veterinary Medicine, Purdue University, West Lafayette, IN, 47907, USA.

出版信息

Acta Vet Scand. 2018 Feb 9;60(1):11. doi: 10.1186/s13028-018-0365-9.

Abstract

BACKGROUND

Ultrasonographic appearance of unorganized hyperechoic striations (UHS) has been observed in the canine gastric muscularis layer. The purpose of the study was to determine the prevalence, sonographic and postmortem histologic features, and to determine the clinical significance of canine gastric muscularis UHS. In the prospective study, 72 dogs were included. The presence of gastric muscularis UHS were reviewed to determine its distribution and location. In the retrospective study, 167 dogs that had both abdominal ultrasonography and necropsy were included.

RESULTS

The prevalence of gastric muscularis UHS in dogs was 37.5% in the prospective and 5.4% in the retrospective studies respectively. The higher prevalence in prospective study was due to greater anticipation by the radiologists in search for gastric muscularis UHS. In the ventral gastric wall, the muscularis UHS were better defined when the gastric lumen was empty or non-distended, and were mostly parallel with the serosa when the gastric wall was distended (with gas or fluid). Visualization of the dorsal gastric wall was often obscured by gas shadowing from luminal gas. Histopathology was performed on eight dogs with gastric muscularis UHS, three of which had fibrous tissue observed with Masson's trichrome stain.

CONCLUSION

Presence of gastric muscularis UHS in dogs may have been attributable to presence of incomplete interfaces between the inner oblique, middle circular and outer longitudinal layers of the gastric tunica muscularis or due to presence of fibrous tissue within the gastric muscularis layer. The clinical significance of canine gastric muscularis UHS is uncertain.

摘要

背景

在犬胃肌层中观察到无组织的高回声条纹(UHS)的超声表现。本研究的目的是确定犬胃肌层UHS的患病率、超声和尸检组织学特征,并确定其临床意义。在前瞻性研究中,纳入了72只犬。对胃肌层UHS的存在情况进行评估以确定其分布和位置。在回顾性研究中,纳入了167只同时进行腹部超声检查和尸检的犬。

结果

在前瞻性研究和回顾性研究中,犬胃肌层UHS的患病率分别为37.5%和5.4%。前瞻性研究中患病率较高是由于放射科医生在寻找胃肌层UHS时更加留意。在胃前壁,当胃腔空虚或未扩张时,肌层UHS更清晰,当胃壁扩张(有气体或液体)时,大多与浆膜平行。胃后壁的观察常因腔内气体的声影而受阻。对8只患有胃肌层UHS的犬进行了组织病理学检查,其中3只在Masson三色染色中观察到纤维组织。

结论

犬胃肌层UHS的存在可能归因于胃肌层内斜、中环和外纵层之间存在不完全界面,或归因于胃肌层内存在纤维组织。犬胃肌层UHS的临床意义尚不确定。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6a90/5807825/16727a579b01/13028_2018_365_Fig1_HTML.jpg

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