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猫科动物腹部超声检查:什么是正常的?什么是异常的?肾上腺。

Feline abdominal ultrasonography: what's normal? what's abnormal? The adrenal glands.

机构信息

BVSc, Ce666rtAVP, DipECVDI, Radiology Department, Willows Veterinary Centre and Referral Service, Highlands Road, Shirley, Solihull B90 4NH, UK.

出版信息

J Feline Med Surg. 2021 Jan;23(1):33-49. doi: 10.1177/1098612X20979509.

DOI:10.1177/1098612X20979509
PMID:33403910
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11163886/
Abstract

PRACTICAL RELEVANCE

Abdominal ultrasound plays a vital role in the diagnostic work-up of many cats presenting to general and specialist practitioners. Ultrasound examination of the adrenal glands can provide important information pertaining to several conditions including hyperaldosteronism and hyperadrenocorticism.

CLINICAL CHALLENGES

Despite ultrasonography being a commonly used modality, many practitioners are not comfortable performing an ultrasound examination or interpreting the resulting images. Even for the experienced ultrasonographer, differentiating between incidental findings, such as adrenal mineralisation, and clinically significant pathological changes can be challenging.

AIM

This review, part of an occasional series on feline abdominal ultrasonography, discusses the ultrasonographic examination of the normal and diseased adrenal glands. Aimed at general practitioners who wish to improve their knowledge of and confidence in feline abdominal ultrasound, this review is accompanied by high-resolution images and videos available online as supplementary material.

EQUIPMENT

Ultrasound facilities are readily available to most practitioners, although the use of ultrasonography as a diagnostic tool is highly dependent on operator experience.

EVIDENCE BASE

Information provided in this article is drawn from the published literature and the author's own clinical experience.

摘要

实际意义

腹部超声在许多就诊于全科医生和专科医生的猫的诊断中起着至关重要的作用。对肾上腺进行超声检查可以提供与多种疾病相关的重要信息,包括醛固酮增多症和库欣氏病。

临床挑战

尽管超声检查是一种常用的方法,但许多医生不熟悉进行超声检查或解读检查结果。即使对于有经验的超声医生来说,区分偶然发现的肾上腺矿化等情况与具有临床意义的病理性变化也具有挑战性。

目的

本综述是关于猫腹部超声的不定期系列的一部分,讨论了正常和患病肾上腺的超声检查。本综述面向希望提高对猫腹部超声的认识和信心的全科医生,附有高分辨率图像和在线视频作为补充材料。

设备

大多数医生都能方便地使用超声设备,尽管超声检查作为一种诊断工具高度依赖于操作人员的经验。

证据基础

本文提供的信息来自已发表的文献和作者的临床经验。

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引用本文的文献

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Iatrogenic adrenal atrophy following oral corticotherapy is not reliably identified ultrasonographically in cats.猫经口皮质激素治疗后发生医源性肾上腺萎缩在超声检查中无法可靠识别。
Can Vet J. 2023 Aug;64(8):773-780.
2
Clinical features and long-term management of cats with primary hypoadrenocorticism using desoxycorticosterone pivalate and prednisolone.使用地塞米松戊酸酯和泼尼松龙治疗原发性肾上腺皮质功能减退症猫的临床特征和长期管理。
J Vet Intern Med. 2023 Mar;37(2):420-427. doi: 10.1111/jvim.16658. Epub 2023 Feb 21.
3
Feline comorbidities: Recognition, diagnosis and management of the cushingoid diabetic.猫科动物合并症:库欣样糖尿病的识别、诊断和管理。
J Feline Med Surg. 2021 Jan;23(1):4-16. doi: 10.1177/1098612X20979507.

本文引用的文献

1
Feline comorbidities: Recognition, diagnosis and management of the cushingoid diabetic.猫科动物合并症:库欣样糖尿病的识别、诊断和管理。
J Feline Med Surg. 2021 Jan;23(1):4-16. doi: 10.1177/1098612X20979507.
2
Ultrasonographic evaluation of adrenal gland size in two body weight categories of healthy adult cats.超声评估两种体重类别健康成年猫的肾上腺大小。
J Feline Med Surg. 2021 Aug;23(8):804-808. doi: 10.1177/1098612X20974962. Epub 2020 Nov 25.
3
Acute adrenal haemorrhage in two cats with aldosterone-secreting adenocarcinomas.两只患有分泌醛固酮腺癌的猫发生急性肾上腺出血。
JFMS Open Rep. 2019 Apr 3;5(1):2055116919840828. doi: 10.1177/2055116919840828. eCollection 2019 Jan-Jun.
4
Diabetes mellitus remission in a cat with pituitary-dependent hyperadrenocorticism after trilostane treatment.曲洛司坦治疗后垂体依赖性肾上腺皮质功能亢进猫的糖尿病缓解
JFMS Open Rep. 2018 Apr 16;4(1):2055116918767708. doi: 10.1177/2055116918767708. eCollection 2018 Jan-Jun.
5
Clinical safety of percutaneous ultrasound-guided fine-needle aspiration of adrenal gland lesions in 19 dogs.19只犬经皮超声引导下肾上腺病变细针穿刺的临床安全性
J Small Anim Pract. 2018 Jun;59(6):357-363. doi: 10.1111/jsap.12829. Epub 2018 Mar 25.
6
Concomitant multiple myeloma and probable phaeochromocytoma in a cat.一只猫同时患有多发性骨髓瘤和疑似嗜铬细胞瘤。
JFMS Open Rep. 2017 Jul 21;3(2):2055116917719209. doi: 10.1177/2055116917719209. eCollection 2017 Jul-Dec.
7
Peculiarities of feline hyperadrenocorticism: Update on diagnosis and treatment.猫肾上腺皮质功能亢进的特点:诊断与治疗的最新进展
J Feline Med Surg. 2017 Sep;19(9):933-947. doi: 10.1177/1098612X17723245.
8
Primary adrenal lymphoma causing hypoaldosteronism in a cat.原发性肾上腺淋巴瘤导致猫醛固酮减少症。
JFMS Open Rep. 2016 Dec 1;2(2):2055116916684409. doi: 10.1177/2055116916684409. eCollection 2016 Jul-Dec.
9
Aldosterone and progesterone-secreting adrenocortical adenocarcinoma in a cat with a concurrent meningioma.一只患有并发脑膜瘤的猫身上的分泌醛固酮和孕酮的肾上腺皮质腺癌。
JFMS Open Rep. 2016 Jan 25;2(1):2055116915624448. doi: 10.1177/2055116915624448. eCollection 2016 Jan-Jun.
10
Adrenocortical tumor in a cat secreting more than one type of corticosteroid.一只猫身上分泌不止一种皮质类固醇的肾上腺皮质肿瘤。
JFMS Open Rep. 2015 Dec 1;1(2):2055116915617970. doi: 10.1177/2055116915617970. eCollection 2015 Jul-Dec.