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绝育状态作为腊肠犬椎间盘突出症(IVDH)的危险因素:一项回顾性队列研究。

Neuter status as a risk factor for canine intervertebral disc herniation (IVDH) in dachshunds: a retrospective cohort study.

作者信息

Dorn Marianne, Seath Ian J

机构信息

Attimore Veterinary Group, Ridgeway, Welwyn Garden City, Herts AL7 2AD UK.

The Rehab Vet, Codicote, Herts SG4 8UB UK.

出版信息

Canine Genet Epidemiol. 2018 Nov 15;5:11. doi: 10.1186/s40575-018-0067-7. eCollection 2018.

Abstract

BACKGROUND

Intervertebral disc herniation (IVDH) involves displacement of the intervertebral disc secondary to disc degeneration and is extremely common in dachshunds. Clinical signs include pain with or without paresis or paralysis. Mortality rate is high and some cases are left with permanent disability even after treatment. Aims of this study were twofold: Firstly, to investigate whether neutering, i.e. gonadectomy, is associated with increased risk of IVDH in dachshunds, and secondly to investigate whether age of neutering alters risk of IVDH in this breed.Information was obtained for 1964 dachshunds from the owner survey, "Dachslife 2015". For dachshunds that were ≥ 3 years and < 10 years old at the time of the survey (1073 individuals) incidence of IVDH was compared between early-neutered (< 12 months), late-neutered (> 12 months) and entire animals of each gender.

RESULTS

Neutered females were at significantly higher risk of IVDH than entire females (risk ratio 1.81, 95% CI 1.28-2.54). For males, incidence of IVDH in neutered as compared with entire dachshunds was increased but this difference was not quite statistically significant (risk ratio 1.38, 95% CI 0.96-1.99).For both genders, this study demonstrated significantly increased risk of IVDH in early-neutered dachshunds (before 12 months old) as compared with those neutered late (after 12 months old). For early neutered males, risk ratio was 1.54 (95% CI 1.07-2.22). For early-neutered females, risk ratio was 2.12 (95% CI 1.44-3.11).

CONCLUSION

Results from this retrospective study suggest that gonadectomy, especially if performed before 12 months old, increases risk of IVDH in this breed. Decisions regarding neutering should be made on an individual basis, taking a range of pros and cons into account. Considering the high prevalence, morbidity and mortality of IVDH in dachshunds, increased IVDH risk associated with neutering is a key factor to consider in deciding whether and when to neuter.

摘要

背景

椎间盘突出症(IVDH)是继发于椎间盘退变的椎间盘移位,在腊肠犬中极为常见。临床症状包括疼痛,伴有或不伴有轻瘫或瘫痪。死亡率很高,有些病例即使经过治疗也会留下永久性残疾。本研究的目的有两个:第一,调查绝育,即去势,是否与腊肠犬患IVDH的风险增加有关;第二,调查绝育年龄是否会改变该品种患IVDH的风险。通过对“2015年腊肠犬生活”主人调查中1964只腊肠犬的信息进行收集。对于在调查时年龄≥3岁且<10岁的腊肠犬(1073只个体),比较了早期绝育(<12个月)、晚期绝育(>12个月)和未绝育的每种性别的腊肠犬的IVDH发病率。

结果

绝育雌性腊肠犬患IVDH的风险显著高于未绝育雌性(风险比1.81,95%可信区间1.28 - 2.54)。对于雄性,绝育腊肠犬与未绝育腊肠犬相比,IVDH发病率有所增加,但这种差异在统计学上不太显著(风险比1.38,95%可信区间0.96 - 1.99)。对于两种性别,本研究表明,与晚期绝育(12个月后)的腊肠犬相比,早期绝育(12个月前)的腊肠犬患IVDH的风险显著增加。对于早期绝育的雄性,风险比为1.54(95%可信区间1.07 - 2.22)。对于早期绝育的雌性,风险比为2.12(95%可信区间1.44 - 3.11)。

结论

这项回顾性研究的结果表明,去势,尤其是在12个月前进行,会增加该品种患IVDH的风险。关于绝育的决定应根据个体情况做出,综合考虑一系列利弊。考虑到腊肠犬中IVDH的高患病率、发病率和死亡率,与绝育相关的IVDH风险增加是决定是否以及何时绝育时需要考虑的关键因素。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8f5f/6236875/7312c76f8d9d/40575_2018_67_Fig1_HTML.jpg

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