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英国犬肝胆疾病的组织病理学频率。

Histopathological frequency of canine hepatobiliary disease in the United Kingdom.

机构信息

Department of Veterinary Medicine, Queen's Veterinary School Hospital, University of Cambridge, Cambridge, CB3 0ES, UK.

Department of Veterinary Medicine, Bridge Pathology Ltd, Bristol, BS7 0BJ, UK.

出版信息

J Small Anim Pract. 2021 Sep;62(9):730-736. doi: 10.1111/jsap.13354. Epub 2021 Jun 21.

Abstract

OBJECTIVES

Canine hepatobiliary disease is common; however, data determining disease frequency and breed predispositions are lacking. The primary objective was to identify the frequency of different hepatobiliary disease in a United Kingdom population of dogs and consequently determine breeds at both an increased and decreased risk of hepatobiliary disease.

MATERIALS AND METHODS

Anonymised histopathology reports from a commercial veterinary diagnostic laboratory, which were submitted between August 2013 and February 2018, were analysed. Data were retrospectively categorised into hepatobiliary diseases according to World Small Animal Veterinary Association Standards and the breed, age and genders recorded. Cases with incomplete data or no definitive diagnosis were excluded. Breed predisposition was calculated using odds ratios and 95% confidence intervals against a United Kingdom-based control population of micro-chipped dogs.

RESULTS

Histopathology results from 4584 cases met inclusion criteria. The most frequent histological diagnoses were reactive hepatitis (n=770); chronic hepatitis (n=735) and reversible hepatocellular injury (n=589). A number of breeds were shown to be at an increased or decreased risk of individual liver diseases.

CLINICAL SIGNIFICANCE

This is the first study to document the histopathological frequency of hepatobiliary diseases in a large cohort of dogs in the United Kingdom, as well as novel possible breed and age predispositions. Despite multivariable analysis not being performed to account for confounding factors, this information hopes to inform and support future investigations for hepatic disease in particular breeds and potential predispositions.

摘要

目的

犬肝胆疾病较为常见,但缺乏有关疾病频率和品种易感性的数据。本研究的主要目的是确定英国犬群中不同肝胆疾病的频率,并确定肝胆疾病风险增加和降低的品种。

材料和方法

分析了一家商业兽医诊断实验室 2013 年 8 月至 2018 年 2 月期间提交的匿名组织病理学报告。根据世界小动物兽医协会标准对数据进行回顾性分类,并记录品种、年龄和性别。排除数据不完整或无明确诊断的病例。使用与英国微芯片犬对照人群的比值比和 95%置信区间来计算品种易感性。

结果

符合纳入标准的 4584 例组织病理学结果。最常见的组织学诊断为反应性肝炎(n=770);慢性肝炎(n=735)和可逆性肝细胞损伤(n=589)。一些品种被证明存在个别肝脏疾病的风险增加或降低。

临床意义

这是第一项在英国大型犬群中记录肝胆疾病组织病理学频率的研究,以及新的可能的品种和年龄易感性。尽管未进行多变量分析以排除混杂因素,但这些信息有望为特定品种的肝脏疾病和潜在易感性提供信息和支持未来的研究。

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