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犬股髋关节牵张X线摄影期间的滑液空化现象

Synovial fluid cavitation during distraction radiography of the coxofemoral joint in dogs.

作者信息

LaFond E, Smith G K, Gregor T P, McKelvie P J, Shofer F S

机构信息

Department of Clinical Studies, School of Veterinary Medicine, University of Pennsylvania, Philadelphia 19104, USA.

出版信息

J Am Vet Med Assoc. 1997 May 1;210(9):1294-7.

PMID:9143532
Abstract

OBJECTIVE

To determine risk factors for, and prevalence and short- and long-term effects of synovial fluid cavitation during distraction radiography.

DESIGN

Multicenter prevalence survey.

ANIMALS

6,649 purebred dogs comprising 129 breeds.

PROCEDURE

Radiographs from the PennHIP (University of Pennsylvania Hip Improvement Program) Laboratory were subjectively evaluated for evidence of cavitation. Multiple logistic regression was used to determine whether sex, breed, age, weight, distraction index (DI), or examining veterinarian was associated with cavitation. Short-term effects of cavitation were assessed by comparing DI for the hip with cavitation with DI for the contralateral hip in dogs with unilateral cavitation. Long-term effects of cavitation were assessed by comparing DI before and after cavitation was detected.

RESULTS

Cavitation was detected in 279 (4.2%) of the radiographs analyzed. Male dogs, Golden Retrievers, and heavier dogs were at a decreased risk for cavitation. Irish Wolfhounds, Irish Setters, Rhodesian Ridgebacks, and Weimaraners had an increased risk for cavitation. Age and DI were not risk factors for cavitation. Mean DI was 0.08 greater in hips with cavitation than in paired hips without cavitation. Significant differences were not detected between DI before and after cavitation, but only 7 dogs were included in this analysis.

CLINICAL IMPLICATIONS

Cavitation is rare during distraction radiography and can increase measured DI. Radiographs should be routinely examined to ensure accurate reporting of DI.

摘要

目的

确定在牵引X线摄影期间关节液空化的危险因素、患病率以及短期和长期影响。

设计

多中心患病率调查。

动物

6649只纯种犬,涵盖129个品种。

方法

对宾夕法尼亚大学髋关节改良计划(PennHIP)实验室的X线片进行主观评估,以寻找空化的证据。采用多元逻辑回归分析来确定性别、品种、年龄、体重、牵引指数(DI)或检查兽医是否与空化有关。对于单侧空化的犬只,通过比较有空化髋关节的DI与对侧髋关节的DI来评估空化的短期影响。通过比较检测到空化前后的DI来评估空化的长期影响。

结果

在分析的X线片中,有279张(4.2%)检测到空化。雄性犬、金毛寻回犬和体重较重的犬出现空化的风险较低。爱尔兰猎狼犬、爱尔兰赛特犬、罗德西亚脊背犬和魏玛犬出现空化的风险较高。年龄和DI不是空化的危险因素。有空化的髋关节的平均DI比无空化的配对髋关节高0.08。在空化前后的DI之间未检测到显著差异,但该分析仅纳入了7只犬。

临床意义

在牵引X线摄影期间空化很少见,且会增加测量的DI。应常规检查X线片以确保准确报告DI。

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