Corbee Ronald Jan, Woldring Hilde H, van den Eijnde Lianne M, Wouters Erik G H
Department of Clinical Sciences, Faculty of Veterinary Medicine, Utrecht University, Yalelaan 108, 3584 CM Utrecht, The Netherlands.
AniCura Dierenziekenhuis Drechtstreek, Jan Valsterweg 26, 3315 LG Dordrecht, The Netherlands.
Animals (Basel). 2021 Dec 31;12(1):95. doi: 10.3390/ani12010095.
Limited data are available on canine and feline non-neoplastic anal sac disease. Therefore, the aim of this study was to obtain observational data on the incidence, predisposing factors, diagnosis, treatment, and recurrence rate of canine and feline anal sac disease. To this end, a questionnaire was distributed among veterinarians. The incidence of non-neoplastic anal sac disease was estimated at 15.7% in dogs and 0.4% in cats. Predisposing factors were diarrhea, skin problems, several dog breeds, and particularly small breed dogs, male cats, British shorthairs, and obesity in dogs. Diagnosis was made based on the presence of clinical signs and characteristics of the anal sac content. Manual expression and treating any potential underlying disease were the most important treatments for all three types of non-neoplastic anal sac disease. Anal sacculectomy was performed in refractory cases. The most recurrent anal sac disease condition was impaction. Diagnosis of anal sac disease should be based on clinical signs and rectal examination, as the evaluation of the anal sac content is not reliable. Surgical outcomes of anal sacculectomy can be improved when surgery is performed after medical management. Future studies should investigate these findings in prospective trials.
关于犬猫非肿瘤性肛囊疾病的数据有限。因此，本研究的目的是获取关于犬猫肛囊疾病的发病率、诱发因素、诊断、治疗及复发率的观察性数据。为此，向兽医发放了一份调查问卷。非肿瘤性肛囊疾病的发病率估计在犬中为15.7%，在猫中为0.4%。诱发因素包括腹泻、皮肤问题、几种犬种，特别是小型犬种、雄性猫、英国短毛猫以及犬的肥胖。诊断基于临床症状和肛囊内容物的特征。对于所有三种类型的非肿瘤性肛囊疾病，手动挤压和治疗任何潜在的基础疾病是最重要的治疗方法。难治性病例需进行肛囊切除术。最易复发的肛囊疾病情况是阻塞。肛囊疾病的诊断应基于临床症状和直肠检查，因为对肛囊内容物的评估不可靠。药物治疗后进行手术可改善肛囊切除术的手术效果。未来的研究应在前瞻性试验中对这些发现进行调查。
