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Hansen Ⅰ 型胸腰椎间盘突出症犬的临床症状持续时间和出现时间对短期预后的影响。

Effect of Duration and Onset of Clinical Signs on Short-Term Outcome of Dogs with Hansen Type I Thoracolumbar Intervertebral Disc Extrusion.

机构信息

Department of Clinical Sciences (Upchurch, Renberg, and Turner), and the Beef Cattle Institute (McLellan), College of Veterinary Medicine, Kansas State University, Manhattan, Kansas, United States.

出版信息

Vet Comp Orthop Traumatol. 2020 May;33(3):161-166. doi: 10.1055/s-0039-1700988. Epub 2020 Jan 30.

Abstract

OBJECTIVE

The aim of this study was to determine if either the rate of onset of clinical signs or duration from initial clinical signs to surgical decompression affected the overall quality or duration of recovery in dogs with intervertebral disc extrusion.

STUDY DESIGN

This was a retrospective case series of 131 client owned dogs. Medical records of dogs surgically treated with hemilaminectomy for intervertebral disc extrusion between January 2016 and December 2017 were reviewed for signalment, neurological grade at presentation, rate of onset and duration of clinical signs and surgical variables. These variables were analysed to determine their effect on return of pain sensation, urinary continence and ambulation.

RESULTS

Duration of clinical signs prior to surgery and rate of onset of signs did not correlate with return of pain sensation, urinary continence or ambulation. Preoperative neurological grade was the main variable that was found to be associated with outcome.

CONCLUSIONS

Delay from initial clinical signs of intervertebral disc extrusion to surgery is unlikely to affect the ultimate outcome or the length of time for a dog to regain pain sensation, urinary continence or ambulation. The rate of onset of signs likewise does not influence these outcomes.

摘要

目的

本研究旨在确定犬椎间盘突出症的临床症状发作率或从最初临床症状到手术减压的持续时间是否会影响整体恢复质量或恢复时间。

研究设计

这是一项回顾性病例系列研究,共纳入了 131 只患犬。对 2016 年 1 月至 2017 年 12 月期间因椎间盘突出症接受半椎板切除术治疗的犬的病历进行了回顾,分析了其特征、就诊时的神经功能分级、临床症状的发作率和持续时间以及手术变量。分析这些变量以确定它们对疼痛感觉、尿失禁和活动能力恢复的影响。

结果

手术前临床症状的持续时间和症状发作的速度与疼痛感觉、尿失禁或活动能力的恢复无关。术前神经功能分级是与预后相关的主要变量。

结论

椎间盘突出症最初临床症状出现到手术的时间延迟不太可能影响犬恢复疼痛感觉、尿失禁或活动能力的最终结果或所需时间。症状发作的速度同样不会影响这些结果。

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