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[犬胸腰椎椎间盘疾病的手术治疗结果]

[Results of surgical treatment in disorders of the thoracolumbar disks in dogs].

作者信息

Necas A

机构信息

University of Veterinary and Pharmaceutical Sciences, Brno, Czech Republic.

出版信息

Vet Med (Praha). 1995 Jul;40(7):213-6.

PMID:7571244
Abstract

The clinical records of 90 dogs with thoracolumbar disc disease treated by fenestration or decompressive surgery on Surgical Department of the University of Veterinary and Pharmaceutical Sciences in Brno between September 1992 and March 1994 were reviewed. The breed, age and sex predisposition, rate of disc protrusion or extrusion and number of multiple disc extrusions were recorded. The frequency of disc protrusion/extrusion at each intervertebral space in thoracolumbar region of spine was also observed. Dogs were grouped by clinical signs of disease in four groups. Recovery rates depending on the pre-operative neurological grade of spinal injury and duration of clinical signs were compared. Patients were observed at least 6 months after surgery and the results of therapy were classified as good (complete recovery of motor and urinary function), fair (some remaining dysfunction, either motor or urinary, but animal retained independent function and usefulness) and poor (not enough improvement to be returned to the owner as an independent animal). Eight breeds and mixed-breed dogs were represented in the 90 cases of thoracolumbar disc disease. Shorthaired Dachshunds predominated (58.9%). The age range of dogs was 3-12 years; 52% were males and 48% females. Incidence of disc protrusion was 13.3% and disc extrusion 86.6% of the cases, with the frequency 3.3% of multiple disc extrusions. The most common site of lesion was the T12-T13 interspace. Twelve dogs in group II were treated by fenestration with good results of therapy in all cases. There was no recurrence of clinical signs during period of observation.(ABSTRACT TRUNCATED AT 250 WORDS)

摘要

回顾了1992年9月至1994年3月期间在布尔诺兽医与制药科学大学外科接受开窗或减压手术治疗的90只患有胸腰椎间盘疾病犬的临床记录。记录了品种、年龄和性别易感性、椎间盘突出或脱出率以及多发椎间盘脱出的数量。还观察了脊柱胸腰段每个椎间间隙椎间盘突出/脱出的频率。根据疾病的临床症状将犬分为四组。比较了根据术前脊髓损伤神经分级和临床症状持续时间的恢复率。术后至少观察患者6个月,并将治疗结果分为良好(运动和排尿功能完全恢复)、尚可(仍有一些运动或排尿功能障碍,但动物保留独立功能且有用)和差(改善不足,无法作为独立动物归还给主人)。90例胸腰椎间盘疾病病例中有八个品种和混种犬。短毛腊肠犬占主导(58.9%)。犬的年龄范围为3至12岁;52%为雄性,48%为雌性。椎间盘突出的发生率为13.3%,椎间盘脱出的发生率为86.6%,多发椎间盘脱出的频率为3.3%。最常见的病变部位是T12 - T13间隙。第二组中的12只犬接受了开窗手术,所有病例治疗效果良好。在观察期间临床症状无复发。(摘要截断于250字)

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