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Virus discovery in dogs with non-suppurative encephalitis reveals a high incidence of tick-borne encephalitis virus infections in Switzerland. 在患有非化脓性脑炎的狗身上发现的病毒表明,瑞士蜱传脑炎病毒感染的发病率很高。
IF 0.7 4区 农林科学 Q3 VETERINARY SCIENCES Pub Date : 2023-10-01 DOI: doi.org/10.17236/sat00407
K L D Dawson, N Wildi, M C Koch, A Oevermann, G Rosato, P Grest, M Hilbe, T Seuberlich

Introduction: Viral infections are a frequent cause of disseminated non-suppurative encephalitis in dogs. However, using routine diagnostic methods, the specific virus may remain unknown due to extensive or complete viral clearance or because the virus is unexpected or new. A metatranscriptomics-based approach of combining high-throughput sequencing (HTS) and bioinformatics analysis was used to investigate the viral etiology in archival cases of dogs with non-suppurative encephalitis. In formalin-fixed paraffin embedded (FFPE) brain material from the years 1976 to 2021 a high incidence of tick-borne encephalitis virus (TBEV) was detected. Moreover, canine distemper virus (CDV) was identified without typical demyelinating lesions and canine vesivirus (CaVV) was detected as an unexpected virus associated with non-suppurative encephalitis. We demonstrated the viral presence in brain tissues at the sites of inflammation by immunohistochemistry (IHC) and in situ hybridization (ISH). These results highlight the value of emerging sequencing technologies in veterinary diagnostics and expand our knowledge on the etiologies of encephalitis in dogs.

引言:病毒感染是犬传播性非化脓性脑炎的常见病因。然而,使用常规诊断方法,由于病毒的广泛或完全清除,或者由于病毒是意外的或新的,特定病毒可能仍然未知。采用基于元转录组学的方法,结合高通量测序(HTS)和生物信息学分析,研究了非化脓性脑炎犬档案病例中的病毒病因。在1976年至2021年的福尔马林固定石蜡包埋(FFPE)脑材料中,检测到蜱传脑炎病毒(TBEV)的高发病率。此外,犬瘟热病毒(CDV)被鉴定为没有典型的脱髓鞘病变,犬病毒(CaVV)被检测为与非化脓性脑炎相关的意外病毒。我们通过免疫组织化学(IHC)和原位杂交(ISH)证实了病毒在脑组织炎症部位的存在。这些结果突出了新兴测序技术在兽医诊断中的价值,并扩大了我们对犬脑炎病因的了解。
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引用次数: 0
Treatment of traumatic cranial fracture with sonic activated polymer pins and plates resorbable implants in a dog. 声波激活聚合物钉板可吸收植入物治疗犬外伤性颅骨骨折。
IF 0.7 4区 农林科学 Q3 VETERINARY SCIENCES Pub Date : 2023-10-01 DOI: doi.org/10.17236/sat00408
A G Salmina, E Castelli, A Pozzi

Introduction: The case report describes the use of ultrasound-activated resorbable implants for surgical repair of comminuted cranial fractures in a 10 years old medium sized mix-breed dog being injured from a horse kick.

引言:本病例报告描述了一只10岁的中型混合品种犬在被马踢受伤时,使用超声激活的可吸收植入物进行颅骨粉碎性骨折的外科修复。
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引用次数: 0
[Ocular and non-ocular squamous cell carcinomas in the Haflinger: Eight cases at the Institut Suisse de Médecine Equine (2015-2022)]. [哈夫林格人的眼部和非眼部鳞状细胞癌:瑞士马研究所的8例病例(2015-2022)]。
IF 0.7 4区 农林科学 Q3 VETERINARY SCIENCES Pub Date : 2023-10-01 DOI: doi.org/10.17236/sat00406
J Schäfer, C Graubner, V Gerber, C Drögemüller, J Underberg, C Gurtner, L Unger

Introduction: This case series describes the clinical course of ocular and non-ocular squamous cell carinoma (SCC) in the Haflinger horse and is intended to raise awareness of the high recurrence rate and tendency to metastasize. Eight Haflingers with histologically confirmed SCC were included, five ocular and three non-ocular, who were presented at the Institut Suisse de Médecine Équine (ISME) Bern between July 2015 and January 2022. The ocular SCC cases were all presented because of an apparent mass, which in most cases was post-treatment recurrence. The occurrence of recurrences was observed between 3 weeks and 16 years after initial therapy. Four of five Haflingers with ocular SCC had an enucleation, three of which were clinically normal at the time of the completion of this study, one case was euthanized due to confirmed metastases and one due to lameness. The result of enucleations for therapy of ocular SCC was good if no metastases occurred. Of the three non-ocular SCC cases, only one case, a penile SCC, had an apparent mass. Therapy was initiated in this case, while the other two cases were euthanized shortly after diagnosis due to the poor prognosis of SCC in the appropriate locations (maxillary sinus, mandible). Metastases occurred three and two years after removal of the primary tumor in ocular SCC in the scapula, liver and lungs and in non-ocular SCC from the penis to the nostrils. Since a postmortem pathological examination was not carried out on all Haflingers, further metastases cannot be ruled out. Haflingers with SCC should be monitored by a veterinarian over the long term, as recurrences and/or metastases can still occur years later.

引言:本病例系列描述了哈夫林格马眼部和非眼部鳞状细胞癌(SCC)的临床过程,旨在提高人们对高复发率和转移趋势的认识。纳入了8名经组织学证实患有SCC的哈夫林格患者,其中5名为眼部患者,3名为非眼部患者,他们于2015年7月至2022年1月在伯尔尼瑞士医学院(ISME)就诊。眼部SCC病例都是因为明显的肿块,在大多数情况下是治疗后复发。在初次治疗后3周至16年期间观察到复发的发生。五名患有眼部鳞状细胞癌的哈夫林格患者中有四名进行了摘除手术,其中三名在本研究完成时临床正常,一名因确诊转移而被安乐死,另一名因跛足而被安乐死。如果没有发生转移,摘除眼球治疗眼部SCC的结果是好的。在三例非眼部SCC病例中,只有一例阴茎SCC有明显肿块。该病例开始治疗,而另外两例在诊断后不久因SCC在适当位置(上颌窦、下颌骨)的预后不佳而被安乐死。转移发生在肩胛骨、肝脏和肺部的眼部SCC以及从阴茎到鼻孔的非眼部SCC的原发肿瘤切除后三年和两年。由于没有对所有哈夫林格进行尸检病理检查,因此不能排除进一步转移的可能性。SCC患者应接受兽医的长期监测,因为复发和/或转移仍可能在数年后发生。
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引用次数: 0
Intraperitoneal and incisional ropivacaine did not improve postoperative analgesia after multimodal anaesthesia compared with saline in dogs undergoing ovariohysterectomy. 在接受卵巢子宫切除术的狗中,与生理盐水相比,腹膜内和切口罗哌卡因在多模式麻醉后并没有改善术后镇痛。
IF 0.7 4区 农林科学 Q3 VETERINARY SCIENCES Pub Date : 2023-10-01 DOI: doi.org/10.17236/sat00405
K Kazmir-Lysak, B Steblaj, P R Torgerson, A P N Kutter, F Restitutti, I S Henze

Introduction: Intraperitoneal administration of local anaesthetics may reduce postoperative pain after ovariohysterectomy in dogs. The aim of this prospective, randomised, blinded, placebo-controlled clinical trial was to compare postoperative analgesia and opioid requirements after intraperitoneal and incisional administration of ropivacaine versus 0,9 % NaCl (saline). Forty-three client-owned dogs were enrolled in the study and anaesthetised using a standardized protocol that included premedication with acepromazine (0,03-0,05 mg/kg) and dexmedetomidine (0,01 mg/kg) intramuscularly. Anaesthesia was induced with propofol titrated to effect and ketamine (1 mg/kg) intravenously and maintained with isoflurane in oxygen. The analgesic regimen included carprofen (4 mg/kg) subcutaneously and morphine (0,2 mg/kg) intravenously. Depending on group assignment, each dog received either an intraperitoneal and incisional splash with ropivacaine (2 mg/kg and 1 mg/kg, respectively) (group R), or an equal volume of saline (group S). Buprenorphine (0,02 mg/kg) was administered intramuscularly once the uterus was removed. Sedation and pain were assessed 0,5, 1, 2, 4, 6 and 8 hours after extubation using a sedation scale, the short form of the Glasgow Composite Pain Scale (CMPS-SF) and a dynamic interactive visual analogue scale (DIVAS). Postoperatively, buprenorphine (0,01 mg/kg) was administered intravenously if dogs scored 6/24 on CMPS-SF. The ordinal mixed model showed no difference in pain scores between groups. Fisher's exact test showed no significant difference in postoperative buprenorphine requirements between group S (3/22 dogs) and group R (1/21 dogs) at the doses used. In addition, lower sedation scores were associated with higher DIVAS scores. In this multimodal analgesic protocol, ropivacaine could not improve analgesia compared to saline.

引言:在犬卵巢子宫切除术后,腹膜内给予局部麻醉剂可以减轻术后疼痛。这项前瞻性、随机、盲法、安慰剂对照临床试验的目的是比较腹膜内和切口给药罗哌卡因与0.9后的术后镇痛和阿片类药物需求 % NaCl(盐水)。43只客户饲养的狗被纳入研究,并使用标准化方案进行麻醉,其中包括使用乙酰丙嗪(0,03-0,05 mg/kg)和右美托咪定(0,01 mg/kg)。丙泊酚和氯胺酮(1 mg/kg)静脉内注射并用异氟烷在氧气中维持。镇痛方案包括卡洛芬(4 mg/kg)和吗啡(0,2 mg/kg)静脉注射。根据分组情况,每只狗接受罗哌卡因腹膜内和切口喷溅(2 mg/kg和1 mg/kg)(R组)或等体积的生理盐水(S组)。丁丙诺啡(0,02 mg/kg)肌肉内给药。拔管后0.5、1、2、4、6和8小时,使用镇静量表、格拉斯哥综合疼痛量表(CMPS-SF)和动态交互式视觉模拟量表(DIVAS)对镇静和疼痛进行评估。术后,丁丙诺啡(0,01 mg/kg)静脉内给药,如果狗在CMPS-SF上得分为6/24。顺序混合模型显示各组之间的疼痛评分没有差异。Fisher精确测试显示,在所用剂量下,s组(3/22只狗)和R组(1/21只狗)的术后丁丙诺啡需求量没有显著差异。此外,较低的镇静评分与较高的DIVAS评分相关。在这种多模式镇痛方案中,与生理盐水相比,罗哌卡因不能改善镇痛效果。
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引用次数: 0
Survey of horse transportation in Switzerland: practices and issues. 瑞士马匹运输调查:实践与问题。
IF 0.7 4区 农林科学 Q3 VETERINARY SCIENCES Pub Date : 2023-09-01 DOI: 10.17236/sat00402
B Benedetti, M Felici, G Thiébaud, F Freccero, B Padalino

Introduction: This study aimed to describe equine transportation practices and transport-related behavioural and health problems in Switzerland and to identify possible associations between them. An online survey was disseminated to Swiss equine industry members and questioned respondents' details, transport practices (before, during, and after journeys), horse transport-related behavioural (TRPBs) and health problems (TRHPs) experienced in the previous 2 years. The survey generated 441 valid responses, analysed using descriptive statistics and logistic regression models (outcomes: TRPBs, TRHPs, injuries, diarrhea). Respondents were mainly women (79,5 %), younger than 50 years (75 %), and amateurs (80 %). Most of the respondents transported one or two horses (88,7 %), for a short (< 2 hours) journey (75,5 %). Pre-transport practices were performed by 72,1 % of respondents and horses' fitness for travel was assessed in the majority of cases (66,5 %). During the journey, horses were tethered (92,6 %) and monitored (52,7 %). The majority of respondents (74,9 %) assessed also the horses' fitness after travel. TRPBs were reported by 13,4 % of respondents. TRPBs' likelihood increased when the respondents were women, performed pre-transport practices and training for transport, did not assess drinking behaviour and general health before journey, and the horses experienced also TRHPs. TRHPs were reported by 34 % of the respondents and were associated with younger respondents, use of trucks, doing pre-transport practices, wearing protections, not monitoring horses during transport and preexisting TRPBs. Among TRHPs the most frequent were injuries (72,1 %) and diarrhea (41 %). The likelihood of injuries increased with younger respondents, use of trucks, wearing protections, lack of monitoring during transport and TRPBs. While younger respondents, longer journeys, wearing protections, lack of monitoring during transport, measuring rectal temperature after journeys and TRPBs increased the odds of reporting diarrhea. Even though our findings must be interpreted with caution due to survey limitations, considering that the found associations do not always mean causation, they highlight the strengths and weaknesses of transport practices in Switzerland and report evidence to implement current regulations on the protection of horse welfare during transport.

简介:本研究旨在描述瑞士的马匹运输方式以及与运输相关的行为和健康问题,并找出它们之间可能存在的联系。研究人员向瑞士马业成员发放了一份在线调查问卷,调查内容包括受访者的详细信息、运输方式(运输前、运输中和运输后)、过去两年中与马匹运输相关的行为(TRPBs)和健康问题(TRHPs)。调查共收到 441 份有效回复,并使用描述性统计和逻辑回归模型进行了分析(结果:TRPBs、TRHPs、受伤、腹泻)。受访者主要为女性(79.5%)、50 岁以下(75%)和业余爱好者(80%)。大多数受访者运输一匹或两匹马(88.7%),行程较短(< 2 小时)(75.5%)。72.1%的受访者进行了运输前的准备工作,大多数情况下(66.5%)对马匹的健康状况进行了评估。在旅途中,马匹被拴住(92.6%)并受到监控(52.7%)。大多数受访者(74.9 %)还对马匹旅行后的健康状况进行了评估。13.4%的受访者报告了TRPB。当受访者为女性、进行了运输前的练习和训练、没有在运输前评估饮酒行为和总体健康状况以及马匹也经历了TRHPs时,TRPBs发生的可能性会增加。34%的受访者报告了TRHPs,这与受访者年龄较小、使用卡车、进行运输前培训、佩戴保护装置、运输过程中未对马匹进行监控以及之前就存在TRPBs有关。在 TRHPs 中,最常见的是受伤(72.1 %)和腹泻(41 %)。受访者年龄越小、使用卡车、佩戴保护装置、运输过程中缺乏监控以及TRPBs,受伤的可能性就越大。而受访者年龄越小、旅途越长、佩戴保护装置、运输过程中缺乏监控、旅途结束后测量直肠温度以及使用 TRPBs 则会增加报告腹泻的几率。尽管由于调查的局限性,我们必须谨慎解释我们的研究结果,考虑到发现的关联并不总是意味着因果关系,但这些研究结果强调了瑞士运输实践的优势和不足,并报告了在运输过程中实施马匹福利保护现行法规的证据。
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引用次数: 0
The prevalence of equine odontoclastic tooth resorption and hypercementosis and the role of interincisal angulation in disease severity in a representative cohort of horses in Switzerland. 在瑞士的马的代表性队列中,马牙塑性牙齿吸收和充血的患病率以及牙内角在疾病严重程度中的作用。
IF 0.7 4区 农林科学 Q3 VETERINARY SCIENCES Pub Date : 2023-09-01 DOI: doi.org/10.17236/sat00401
P Igel, A E Fürst, M A Jackson

Introduction: Equine odontoclastic tooth resorption and hypercementosis (EOTRH) is an increasingly diagnosed degenerative dental disease in aged horses. The primary aim of this retrospective study was to determine the prevalence of EOTRH in horses admitted to the Equine Hospital, University of Zurich, for dental procedures from 2004 to 2017. A secondary goal was to measure and compare interincisal angles on two-dimensional radiographs of horses with EOTRH to determine whether the interincisal angle is associated with age and severity of the disease. Radiographs were assessed for the presence of lysis and/or hypercementosis, and the number and position of the teeth affected were determined. Each tooth was also evaluated using the modified classification system introduced by Rehrl et al. (2018), in which stage 0 indicates no radiographic abnormalities and stage 3 denotes severe abnormalities. The overall stage was defined by the tooth with the most severe lesions. The interincisal angle was determined in horses that had suitable radiographs. The medical records of 838 horses admitted for dental procedures were evaluated, and 85 (10,1 %) had clinical evidence of EOTRH. The mean interincisal angle was 136,06 ° in horses with mild to moderate EOTRH and 135,10 ° (SD = 11,90 °) in severely affected patients. In conclusion, the angle measurements on lateral radiographs were highly reproducible. However, the interincisal angle was not associated with age or the severity of EOTRH. The interincisal angle and the disease pattern were not correlated.

马牙破骨性牙齿吸收和增血症(EOTRH)是一种越来越多诊断的老年马退行性牙病。本回顾性研究的主要目的是确定2004年至2017年在苏黎世大学马医院接受牙科手术的马匹中EOTRH的患病率。第二个目标是测量和比较患有EOTRH的马的二维x线片上的内夹角,以确定内夹角是否与年龄和疾病的严重程度有关。评估x线片是否存在溶解和/或积血过多,并确定受影响牙齿的数量和位置。每颗牙齿也使用Rehrl等人(2018)引入的改良分类系统进行评估,其中0级表示没有放射学异常,3级表示严重异常。总体分期以病变最严重的牙齿来确定。在有合适的x线片的马中确定内径角。对838匹接受牙科治疗的马的医疗记录进行了评估,其中85匹(10.1%)有EOTRH的临床证据。轻度至中度EOTRH患者的平均内径角为136,06°,重度患者的平均内径角为135,10°(SD = 11,90°)。总之,侧位x线片上的角度测量具有很高的可重复性。然而,内径角与年龄或EOTRH的严重程度无关。内径角与疾病类型无相关性。
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引用次数: 0
Survey of horse transportation in Switzerland: practices and issues. 瑞士马匹运输的调查:实践和问题。
IF 0.7 4区 农林科学 Q3 VETERINARY SCIENCES Pub Date : 2023-09-01 DOI: 10.17236/sat00402
B. Benedetti, M. Felici, G. Thiébaud, F. Freccero, B. Padalino
INTRODUCTIONThis study aimed to describe equine transportation practices and transport-related behavioural and health problems in Switzerland and to identify possible associations between them. An online survey was disseminated to Swiss equine industry members and questioned respondents' details, transport practices (before, during, and after journeys), horse transport-related behavioural (TRPBs) and health problems (TRHPs) experienced in the previous 2 years. The survey generated 441 valid responses, analysed using descriptive statistics and logistic regression models (outcomes: TRPBs, TRHPs, injuries, diarrhea). Respondents were mainly women (79,5 %), younger than 50 years (75 %), and amateurs (80 %). Most of the respondents transported one or two horses (88,7 %), for a short (< 2 hours) journey (75,5 %). Pre-transport practices were performed by 72,1 % of respondents and horses' fitness for travel was assessed in the majority of cases (66,5 %). During the journey, horses were tethered (92,6 %) and monitored (52,7 %). The majority of respondents (74,9 %) assessed also the horses' fitness after travel. TRPBs were reported by 13,4 % of respondents. TRPBs' likelihood increased when the respondents were women, performed pre-transport practices and training for transport, did not assess drinking behaviour and general health before journey, and the horses experienced also TRHPs. TRHPs were reported by 34 % of the respondents and were associated with younger respondents, use of trucks, doing pre-transport practices, wearing protections, not monitoring horses during transport and preexisting TRPBs. Among TRHPs the most frequent were injuries (72,1 %) and diarrhea (41 %). The likelihood of injuries increased with younger respondents, use of trucks, wearing protections, lack of monitoring during transport and TRPBs. While younger respondents, longer journeys, wearing protections, lack of monitoring during transport, measuring rectal temperature after journeys and TRPBs increased the odds of reporting diarrhea. Even though our findings must be interpreted with caution due to survey limitations, considering that the found associations do not always mean causation, they highlight the strengths and weaknesses of transport practices in Switzerland and report evidence to implement current regulations on the protection of horse welfare during transport.
本研究旨在描述瑞士的马运输实践和与运输相关的行为和健康问题,并确定它们之间可能存在的关联。一项在线调查向瑞士马业成员分发,并询问了受访者的详细信息、交通习惯(旅行前、旅行中和旅行后)、过去两年中与马交通相关的行为(TRPBs)和健康问题(TRHPs)。该调查产生了441份有效回复,使用描述性统计和逻辑回归模型(结果:TRPBs、TRHPs、伤害、腹泻)进行了分析。受访者主要是女性(79.5%)、50岁以下(75%)和业余爱好者(80%)。大多数受访者(88.7%)在短时间(< 2小时)的旅途中(75.5%)骑了一匹或两匹马。72.1%的受访者进行了运输前的实践,并且在大多数情况下评估了马匹的旅行适应性(66.5%)。在旅途中,拴马(92,6%)并对马进行监测(52,7%)。大多数受访者(74.9%)还评估了马在旅行后的健康状况。13.4%的受访者报告了TRPBs。当应答者为女性,进行运输前的实践和运输培训,在旅行前没有评估饮酒行为和一般健康状况,并且马匹也经历过trhp时,trhp的可能性增加。34%的应答者报告了trhp,并且与年轻应答者、使用卡车、进行运输前操作、穿戴防护、在运输过程中未监测马匹以及先前存在的trhp有关。在TRHPs中,最常见的是损伤(72.1%)和腹泻(41%)。年轻的受访者、使用卡车、穿戴防护、在运输过程中缺乏监测和TRPBs时,受伤的可能性增加。而较年轻的应答者,较长的旅行,佩戴保护措施,运输过程中缺乏监测,旅行后测量直肠温度和trpb增加了报告腹泻的几率。尽管由于调查的局限性,我们的研究结果必须谨慎解释,考虑到所发现的关联并不总是意味着因果关系,它们突出了瑞士运输实践的优势和劣势,并报告了实施运输过程中保护马匹福利的现行法规的证据。
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引用次数: 0
Large granular lymphocyte lymphoma with leukemic phase and suspicion of leptomeningeal lymphomatosis in a cat - a case report. 大颗粒淋巴细胞淋巴瘤伴白血病期和猫脑膜淋巴瘤病疑似病例报告。
IF 0.7 4区 农林科学 Q3 VETERINARY SCIENCES Pub Date : 2023-09-01 DOI: 10.17236/sat00404
N Mauri, F Graf, S Dressel-Böhm, G Scharf

Introduction: In this case report we present a feline large granular lymphocyte (LGL) lymphoma, a rare morphologically distinct subtype of lymphoma, in a twelve-year-old female spayed domestic short hair cat, with high suspicion of leptomeningeal lymphomatosis due to magnetic resonance imaging findings and results of cerebral spinal fluid analyses. Diagnosis of LGL lymphoma was confirmed by means of blood cytology and polymerase chain reaction for antigen receptor rearrangements.

导言:在本病例报告中,我们介绍了一只 12 岁的雌性绝育短毛猫患上的猫大颗粒淋巴细胞(LGL)淋巴瘤,这是一种罕见的形态独特的淋巴瘤亚型,由于磁共振成像结果和脑脊液分析结果,该猫被高度怀疑患有脑垂体淋巴瘤病。通过血液细胞学和聚合酶链反应检测抗原受体重排,确诊为 LGL 淋巴瘤。
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引用次数: 0
Large granular lymphocyte lymphoma with leukemic phase and suspicion of leptomeningeal lymphomatosis in a cat - a case report. 猫大颗粒淋巴细胞淋巴瘤伴白血病期并怀疑为小脑膜淋巴瘤1例报告。
IF 0.7 4区 农林科学 Q3 VETERINARY SCIENCES Pub Date : 2023-09-01 DOI: 10.17236/sat00404
N. Mauri, F. Gráf, S. Dressel-Böhm, G. Scharf
INTRODUCTIONIn this case report we present a feline large granular lymphocyte (LGL) lymphoma, a rare morphologically distinct subtype of lymphoma, in a twelve-year-old female spayed domestic short hair cat, with high suspicion of leptomeningeal lymphomatosis due to magnetic resonance imaging findings and results of cerebral spinal fluid analyses. Diagnosis of LGL lymphoma was confirmed by means of blood cytology and polymerase chain reaction for antigen receptor rearrangements.
在这个病例报告中,我们报告了一个猫大颗粒淋巴细胞淋巴瘤(LGL),这是一种罕见的形态学上独特的淋巴瘤亚型,发生在一只12岁的雌性家养短毛猫身上,由于磁共振成像和脑脊液分析的结果,高度怀疑是小脑膜淋巴瘤病。通过血细胞学检查和抗原受体重排的聚合酶链反应证实了LGL淋巴瘤的诊断。
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引用次数: 0
[Comparison of the reoperation rates of three techniques for tibial tuberosity transposition in medial patellar dislocation]. 三种技术治疗髌骨内侧脱位胫骨结节转位再手术率的比较。
IF 0.7 4区 农林科学 Q3 VETERINARY SCIENCES Pub Date : 2023-09-01 DOI: doi.org/10.17236/sat00403
C Vögele, D A Koch, P Kircher

Introduction: A common technique for the treatment of medial patellar luxation is the lateral transposition of the tibial tuberosity. Two variations of a new surgical method with a retention plate and fixation with a wire or a security plate, were tested against each other and against the existing fixation with Kirschner wires and a tension band by the number of reoperations. The new method using a retention plate and security plate showed the lowest rate of reoperations (5 %), followed by the new technique using retention plate and wire (14 %) and the existing fixation with Kirschner wires and a tension band (34 %). A possible explanation for the good result of the new method can be the fixation of the implants on the medial side of the tibia and the non-use of Kirschner wires.

简介:治疗内侧髌骨脱位的常用技术是胫骨结节外侧转位。通过重复手术的次数,对两种新的手术方法进行了测试,其中一种是固定板,另一种是用金属丝或安全板固定,并与现有的克氏针和张力带固定进行了测试。使用固定钢板和安全钢板的新方法的再手术率最低(5%),其次是使用固定钢板和金属丝的新方法(14%)和使用克氏针和张力带固定的新方法(34%)。新方法效果良好的一个可能解释是将植入物固定在胫骨内侧,而不使用克氏针。
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Schweizer Archiv fur Tierheilkunde
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