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计算机断层扫描有助于鉴别犬的草刺异物性鼻炎与非异物性鼻炎。

Computed tomography may be helpful in discriminating grass awn foreign body rhinitis from non-foreign body rhinitis in dogs.

机构信息

Imaging Department, Centre Hospitalier Vétérinaire Languedocia, Montpellier, France.

Internal Medicine Department, Centre Hospitalier Vétérinaire Languedocia, Montpellier, France.

出版信息

Vet Radiol Ultrasound. 2021 Sep;62(5):533-540. doi: 10.1111/vru.12981. Epub 2021 May 14.

Abstract

Grass awn foreign bodies are a common cause of rhinitis in dogs.  Early detection and complete removal of these foreign bodies are important for minimizing risks of long term complications. The objective of this retrospective, descriptive cross-sectional study was to determine whether discriminating CT findings exist between dogs with grass awn foreign body rhinitis and dogs with non-foreign body rhinitis. Computed tomography scans of 47 dogs with a confirmed diagnosis of non-foreign body rhinitis (25 cases) or of a nasal grass awn foreign body (22 cases) were reviewed. In the latter group, grass seeds were visualized directly on CT images for one of 22 (5%) cases. Focal lysis was more strongly associated with the presence of a grass awn foreign body (P = .012, LR = 3.0) and widespread lysis (involving more than one-third of the nasal cavity and/or bilateral) appeared associated with non-foreign body rhinitis (P = .046, LR = 2.0). Maxillary recess filling was associated with non-foreign body rhinitis (LR = 4.4) as was widespread lysis (LR = 2.0). Findings supported prioritizing grass awn foreign body rhinitis as a differential diagnosis for dogs with the former CT characteristics, even if a grass awn cannot be directly visualized.

摘要

草刺异物是犬鼻炎的常见病因。早期发现并彻底清除这些异物对于最大限度地降低长期并发症的风险非常重要。本回顾性描述性横断面研究的目的是确定在患有草刺异物性鼻炎的犬和患有非异物性鼻炎的犬之间是否存在可区分的 CT 表现。对 47 只确诊为非异物性鼻炎(25 例)或鼻腔草刺异物(22 例)的犬的 CT 扫描进行了回顾性分析。在后一组中,22 例(5%)中有 1 例可直接在 CT 图像上看到草种。局灶性溶解与草刺异物的存在更密切相关(P =.012,LR = 3.0),广泛溶解(累及鼻腔三分之一以上和/或双侧)与非异物性鼻炎相关(P =.046,LR = 2.0)。上颌窦填充与非异物性鼻炎相关(LR = 4.4),广泛溶解也是如此(LR = 2.0)。这些发现支持将草刺异物性鼻炎作为具有前一种 CT 特征的犬的鉴别诊断,即使无法直接观察到草刺。

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