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[猫泌尿系统结石:德国的发病率及流行病学分析(2016 - 2020年)]

[Feline uroliths: Analysis of frequency and epidemiology in Germany (2016-2020)].

作者信息

Breu Doris, Müller Elisabeth

机构信息

LABOKLIN GmbH & Co. KG.

出版信息

Tierarztl Prax Ausg K Kleintiere Heimtiere. 2022 Apr;50(2):102-111. doi: 10.1055/a-1795-8078. Epub 2022 May 6.

DOI:10.1055/a-1795-8078
PMID:35523164
Abstract

OBJECTIVES

This study was aimed to assess the distribution and frequency of uroliths in cats as well as to evaluate gender-, age-, and breed-specific differences.

MATERIAL AND METHODS

3629 uroliths from cats in Germany were analyzed by infrared-spectroscopy during the period 2016-2020. The majority (3300) of the uroliths originated from purebred cats of 22 breeds.

RESULTS

Uroliths were prevalent in the order of male neutered (45.3 %), female spayed (35.3 %), male intact (7.4 %), and female intact cats (6.3 %). Median age of the cats with uroliths was 7 years, although it varied slightly depending on types of the urolith. The most frequent uroliths were calcium oxalate (59.5 %), followed by struvite (33.7 %), ammonium urate (2 %), calcium phosphate (1.7 %), cystine (0.7 %) and xanthine (0.4 %). Males (59.4 %) and females (59.2 %) showed nearly identical prevalence of calcium oxalates, whereas it significantly diverged in castrated (60.2 %) versus intact animals (54.4 %; p = 0.01). With regard to struvites, male cats (32.6 %) were less prone than females (35.4 %; p = 0.08) while intact cats (38.2 %) significantly outnumbered the castrated cohorts (33.1 %; p = 0.02). The prevalence for calcium oxalate uroliths increased by 6.6 % during the study period, contrasting a decrease of 5.5 % for struvites. Some breeds (> 10 individuals) showed significantly higher propensities than others for urolith formation. Calcium oxalates were significantly more frequent in British shorthair cats (85.2 %), Ragdoll (75 %), Scottish fold (74.1 %) and Persians (72.4 %). Struvites were prevailing in Norwegian forest cats (48.5 %), British longhair (41.7 %), European shorthair (41.7 %) and Siberian forest cats (36.8 %). Siamese cats had the significantly highest percentage of cystine uroliths (16 %).

CONCLUSIONS AND CLINICAL RELEVANCE

The occurrence of urine calculi in cats from Germany was found to be most frequent for calcium oxalate and struvite types. We also found breed-, age-, gender- specific differences in addition to variations depending on the neutering status of the animals.

摘要

目的

本研究旨在评估猫尿路结石的分布及发生频率,并评估性别、年龄和品种特异性差异。

材料与方法

2016年至2020年期间,对德国3629颗猫尿路结石进行了红外光谱分析。其中大多数(3300颗)尿路结石来自22个品种的纯种猫。

结果

尿路结石在已绝育雄猫(45.3%)、已绝育雌猫(35.3%)、未绝育雄猫(7.4%)和未绝育雌猫(6.3%)中的发生率依次降低。患尿路结石猫的中位年龄为7岁,不过因结石类型不同略有差异。最常见的尿路结石是草酸钙结石(59.5%),其次是磷酸铵镁结石(33.7%)、尿酸铵结石(2%)、磷酸钙结石(1.7%)、胱氨酸结石(0.7%)和黄嘌呤结石(0.4%)。雄猫(59.4%)和雌猫(59.2%)的草酸钙结石发生率几乎相同,而在去势动物(60.2%)和未去势动物中(54.4%)有显著差异(p = 0.01)。关于磷酸铵镁结石,雄猫(32.6%)比雌猫(35.4%;p = 0.08)更不易患,而未去势猫(38.2%)明显多于去势猫(33.1%;p = 0.02)。在研究期间,草酸钙结石的发生率增加了6.6%,而磷酸铵镁结石减少了5.5%。一些品种(>10只)比其他品种更易形成尿路结石。草酸钙结石在英国短毛猫(85.2%)、布偶猫(75%)、苏格兰折耳猫(74.1%)和波斯猫(72.4%)中明显更常见。磷酸铵镁结石在挪威森林猫(48.5%)、英国长毛猫(41.7%)、欧洲短毛猫(41.7%)和西伯利亚森林猫(36.8%)中占主导。暹罗猫的胱氨酸结石比例显著最高(16%)。

结论及临床意义

德国猫中最常见的尿路结石类型是草酸钙和磷酸铵镁结石。我们还发现了品种、年龄、性别特异性差异,以及因动物去势状态不同而产生的变化。

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