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循证医学:猫超声引导经皮胆囊穿刺术。

Evidence-Based Medicine: Ultrasound-Guided Percutaneous Cholecystocentesis in the Cat.

机构信息

Clinical Sciences Department, Colorado State University Veterinary Teaching Hospital, 300 West Drake Road, Fort Collins, CO 80523, USA.

出版信息

Vet Clin North Am Small Anim Pract. 2020 Sep;50(5):1123-1134. doi: 10.1016/j.cvsm.2020.06.007. Epub 2020 Jul 14.

DOI:10.1016/j.cvsm.2020.06.007
PMID:32680666
Abstract

Cholangitis is a common cause of hepatobiliary disease in the cat. Feline cholangitis is characterized as neutrophilic (acute or chronic), lymphocytic, or caused by liver flukes. The neutrophilic form is caused by bacterial infection of the biliary system, and identification of the specific bacterial agent guides treatment. Bile is the sample of choice for cytology and bacterial culture in these cases, and percutaneous ultrasound-guided cholecystocentesis is used to obtain that sample. This review covers the literature that provides evidence for safety and usefulness of percutaneous ultrasound-guided cholecystocentesis as part of the diagnostic work-up of cats suspected of having hepatobiliary disease.

摘要

胆管炎是猫科动物肝胆疾病的常见病因。猫胆管炎的特征为中性粒细胞性(急性或慢性)、淋巴细胞性,或由肝片吸虫引起。中性粒细胞性胆管炎由胆道系统细菌感染引起,特定细菌的鉴定指导治疗。在这些情况下,胆汁是细胞学和细菌培养的首选样本,经皮超声引导胆囊穿刺术用于获取该样本。本综述涵盖了文献,这些文献为经皮超声引导胆囊穿刺术作为怀疑患有肝胆疾病的猫的诊断检查的一部分的安全性和有用性提供了证据。

相似文献

1
Evidence-Based Medicine: Ultrasound-Guided Percutaneous Cholecystocentesis in the Cat.循证医学:猫超声引导经皮胆囊穿刺术。
Vet Clin North Am Small Anim Pract. 2020 Sep;50(5):1123-1134. doi: 10.1016/j.cvsm.2020.06.007. Epub 2020 Jul 14.
2
Percutaneous cholecystocentesis in cats with suspected hepatobiliary disease.对疑似肝胆疾病的猫进行经皮胆囊穿刺术。
J Feline Med Surg. 2017 Dec;19(12):1254-1260. doi: 10.1177/1098612X16689335. Epub 2017 Jan 27.
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Percutaneous Ultrasound-guided Cholecystocentesis and Bile Analysis for the Detection of Platynosomum spp.-Induced Cholangitis in Cats.经皮超声引导下胆囊穿刺及胆汁分析用于检测猫由扁体吸虫属引起的胆管炎
J Vet Intern Med. 2016 May;30(3):787-93. doi: 10.1111/jvim.13943. Epub 2016 Apr 5.
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Percutaneous ultrasound-guided cholecystocentesis in healthy cats.健康猫的经皮超声引导下胆囊穿刺术。
J Vet Intern Med. 2003 May-Jun;17(3):298-303. doi: 10.1111/j.1939-1676.2003.tb02451.x.
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Feline abdominal ultrasonography: what's normal? what's abnormal? The biliary tree.猫腹部超声检查:正常情况是什么?异常情况是什么?胆道系统。
J Feline Med Surg. 2019 May;21(5):429-441. doi: 10.1177/1098612X19843212.
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Percutaneous ultrasound-guided cholecystocentesis: complications and association of ultrasonographic findings with bile culture results.经皮超声引导下胆囊穿刺术:并发症及超声检查结果与胆汁培养结果的关联
J Small Anim Pract. 2017 Jul;58(7):389-394. doi: 10.1111/jsap.12697. Epub 2017 Jun 9.
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Feline cholecystitis and acute neutrophilic cholangitis: clinical findings, bacterial isolates and response to treatment in six cases.猫胆囊炎和急性中性粒细胞性胆管炎:6例临床病例的临床表现、细菌分离及治疗反应
J Feline Med Surg. 2006 Apr;8(2):91-103. doi: 10.1016/j.jfms.2005.09.001. Epub 2005 Nov 8.
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Percutaneous ultrasound-guided cholecystocentesis in dogs.犬经皮超声引导下胆囊穿刺术
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Bile composition of healthy cats and cats with suspected hepatobiliary disease using point-of-care analyzers: A prospective preliminary study.应用即时检测分析仪对健康猫和疑似肝胆疾病猫的胆汁成分进行分析:一项前瞻性初步研究。
Can J Vet Res. 2020 Apr;84(2):138-145.
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Association between Gallbladder Ultrasound Findings and Bacterial Culture of Bile in 70 Cats and 202 Dogs.70只猫和202只狗的胆囊超声检查结果与胆汁细菌培养之间的关联
J Vet Intern Med. 2017 Sep;31(5):1451-1458. doi: 10.1111/jvim.14792. Epub 2017 Jul 29.