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Traumatic brain injury in companion animals: Pathophysiology and treatment 伴侣动物的创伤性脑损伤:病理生理学与治疗。
IF 1.3 3区 农林科学 Q2 VETERINARY SCIENCES Pub Date : 2024-11-01 Epub Date: 2024-10-25 DOI: 10.1016/j.tcam.2024.100927
Molly Wart , Thomas H. Edwards , Julie A. Rizzo , Geoffrey W. Peitz , Armi Pigott , Jonathan M. Levine , Nicholas D. Jeffery
Traumatic brain injuries (TBI) are common in dogs and cats that have sustained head trauma from a variety of causes. In moderate to severe TBI, damage from both the primary and secondary injuries can be life-threatening. TBI management may be further complicated by concurrent injuries in polytrauma patients. Thorough initial and serial examinations are key in detecting neurologic changes quickly and guiding treatment. Intensive treatments such as nursing care, fluid therapy, hyperosmolar agents, analgesia, sedation, anticonvulsants, oxygen supplementation, surgery, and rehabilitation may be employed in TBI management. Prognostication resources for an individual patient are limited and a perceived poor prognosis may worsen clinical outcomes. In this paper, we review the pathophysiology of TBI, identification, injury stratification and prognosis of patients with TBI as well as propose treatment and monitoring recommendations for companion animals based on severity of TBI.
创伤性脑损伤 (TBI) 常见于因各种原因造成头部外伤的猫狗。在中度到重度创伤性脑损伤中,原发性和继发性损伤都可能危及生命。多发性创伤患者的并发伤可能会使创伤性脑损伤的治疗变得更加复杂。彻底的初步检查和连续检查是迅速发现神经系统变化并指导治疗的关键。在治疗创伤性脑损伤时,可采用护理、液体疗法、高渗剂、镇痛、镇静、抗惊厥、补氧、手术和康复等强化治疗。针对个体患者的预后诊断资源是有限的,预后不良可能会恶化临床结果。本文回顾了创伤性脑损伤的病理生理学、创伤性脑损伤患者的识别、损伤分层和预后,并根据创伤性脑损伤的严重程度为伴侣动物提出了治疗和监测建议。
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引用次数: 0
Effect of seminal plasma cholesterol and triacylglycerides concentrations and sperm morphology on semen freezability in domestic cats (Felis silvestris catus) 精浆胆固醇和三酰甘油浓度以及精子形态对家猫精液冷冻性的影响
IF 1.3 3区 农林科学 Q2 VETERINARY SCIENCES Pub Date : 2024-09-01 Epub Date: 2024-08-20 DOI: 10.1016/j.tcam.2024.100907
María Florencia García , Romina Nuñez Favre , Ramiro Rearte , María Cecilia Stornelli , Susana Jurado , Luzbel de la Sota , María Alejandra Stornelli

There is scarce information about the effect of sperm morphology and seminal plasma composition on cat semen freezability. Thus, this study aims to assess the effect of cat sperm morphology and seminal plasma cholesterol (CHOL) and triacylglyceride (TAG) concentrations on sperm post-thaw survival. Ejaculates (n = 49) were evaluated, and seminal plasma was separated and frozen until CHOL and TAG concentrations were measured. The sperm pellet was diluted in a tris-based egg yolk extender, frozen (n = 38), or processed for sperm ultrastructure study (n = 11). Abnormalities recorded were abnormal head shape and size, detached heads, knobbed or ruffled acrosomes, eccentric mid-piece insertion, proximal and distal cytoplasmic droplets, folded and coiled tails, and Dag defect. Ultramicroscopic evaluation detected several sperm abnormalities in fresh semen and some sperm damage in frozen semen. Seminal plasma lipids components were positively correlated with post-thaw motility and acrosome integrity. Higher freezability indices for motility and acrosome integrity were observed in frozen-thawed semen with high seminal plasma CHOL and TAG concentrations. No freezability differences were observed between teratozoospermic and normozoospermic ejaculates. Our results showed that even when seminal plasma was removed before cryopreservation, sperm survival after thawing was significantly higher in samples with high seminal plasma CHOL and TAG concentrations, indicating a rapid adherence to these compounds to the sperm plasma membrane, protecting sperm cells from temperature changes. Nevertheless, there were no differences in sperm freezability by sperm morphology.

有关精子形态和精浆成分对猫精液冷冻性影响的信息很少。因此,本研究旨在评估猫精子形态、精浆胆固醇(CHOL)和三酰甘油(TAG)浓度对精子解冻后存活率的影响。对射精(n=49)进行评估,并分离和冷冻精浆,直至测量出 CHOL 和 TAG 的浓度。精子颗粒在以三聚氰胺为基础的蛋黄扩展剂中稀释、冷冻(38 个)或进行精子超微结构研究(11 个)。记录到的异常情况包括:头部形状和大小异常、头部分离、顶体呈球状或皱褶状、中段插入偏心、近端和远端胞质液滴、尾部折叠和卷曲以及 Dag 缺陷。超声显微镜检查发现,新鲜精液中的精子有几处异常,冷冻精液中的精子也有一些损伤。精浆脂质成分与解冻后的运动能力和顶体完整性呈正相关。在精浆中CHOL和TAG浓度较高的冷冻解冻精液中,运动能力和顶体完整性的冷冻指数较高。畸形精子症精液和正常精子症精液的可冻性没有差异。我们的结果表明,即使在冷冻保存前去除精浆,精浆中CHOL和TAG浓度高的样本解冻后的精子存活率也明显更高,这表明这些化合物能迅速附着在精子质膜上,保护精子细胞免受温度变化的影响。尽管如此,精子的可冷冻性在精子形态上并无差异。
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引用次数: 0
Comparison of two haemostasis techniques on procedural duration, postoperative pain and gastrointestinal function in pet rabbits undergoing ovariohysterectomy 比较两种止血技术对接受卵巢切除术的宠物兔的手术时间、术后疼痛和胃肠功能的影响。
IF 1.3 3区 农林科学 Q2 VETERINARY SCIENCES Pub Date : 2024-09-01 Epub Date: 2024-08-08 DOI: 10.1016/j.tcam.2024.100906
Dario d'Ovidio , Chiara Adami

Ovariohysterectomy is a common surgical procedure in pet rabbits and one of its potential complications is postoperative gastrointestinal stasis, possibly exacerbated by prolonged surgery time. The objective of this prospective clinical study was to compare two techniques for surgical haemostasis with respect to procedural duration, postoperative pain, and return of gastrointestinal function, in 22 female rabbits undergoing ovariohysterectomy. Rabbits were assigned to one of two groups: conventional vessel ligation (CVL) and haemostasis with a vessel sealing device (VSD). The outcome variables for comparison between the two groups, recorded at 60-, 120-, 180-, and 360-minutes post anaesthesia, were duration of anaesthesia and surgery, postoperative Rabbit Grimace Scale scores, and measured food intake and faecal output. The vessel sealing device caused no appreciable blood loss. The duration of both surgery and anaesthesia was shorter in group VSD (20 ± 4 and 31 ± 6 minutes, respectively) than in group CVL (43 ± 9 and 54 ± 9 minutes, respectively) (p < 0.001). There were no differences between groups in time elapsed from the end of anaesthesia to both first food intake and first defecation. In both groups, the score of the Rabbit Grimace Scale decreased over time with statistically significant differences between 60 minutes and all the subsequent time points (p < 0.001). Vessel sealing devices may be recommended over conventional haemostasis for rabbit ovariohysterectomy to decrease the duration of surgery and anaesthesia, with potential beneficial effects on sustainability and practice workflow.

卵巢切除术是宠物兔常见的外科手术,其潜在并发症之一是术后胃肠道淤血,手术时间延长可能会加重这种并发症。这项前瞻性临床研究的目的是比较两种手术止血技术对 22 只接受卵巢切除术的雌性兔子在手术时间、术后疼痛和胃肠功能恢复方面的影响。兔子被分配到两组中的一组:传统血管结扎(CVL)和使用血管密封装置(VSD)止血。在麻醉后 60、120、180 和 360 分钟记录的两组比较结果变量包括麻醉和手术持续时间、术后兔格林美量表评分以及测量的食物摄入量和粪便排出量。血管密封装置没有造成明显的失血。VSD 组的手术时间和麻醉时间(分别为 20±4 分钟和 31±6 分钟)比 CVL 组(分别为 43±9 分钟和 54±9 分钟)短(P<0.05)。
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引用次数: 0
Successful treatment of forelimb osteochondroma in a ferret (Mustela putorius furo) 成功治疗雪貂(Mustela putorius furo)前肢骨软骨瘤。
IF 1.3 3区 农林科学 Q2 VETERINARY SCIENCES Pub Date : 2024-09-01 Epub Date: 2024-08-08 DOI: 10.1016/j.tcam.2024.100904
Alyssa Ungemach , Nicholas Dannemiller , Brittany Rasche , Esther Farber , Chris Griffin , Sarah Ozawa

A 1-year-old male neutered ferret (Mustela putorius furo) was evaluated for an abnormal left cubital joint. Radiographs demonstrated a proliferative osseous lesion of the left proximal antebrachium. Computed tomography confirmed a large thin-walled expansile osseous lesion of the left proximal radius and identified multifocal proliferative lesions of the axial spine, two of which caused spinal cord compression. A left forelimb amputation with total scapulectomy was performed. Histopathology revealed a well-demarcated mass with a thin rim of mature lamellar bone and a discontinuous cartilage cap covered by a perichondrial/periosteal membrane continuous with the adjacent bone. Findings were most consistent with an osteochondroma or osteochondromatosis (i.e., multiple cartilaginous exostoses, hereditary multiple exostoses). No evidence of malignant transformation was observed within this specimen. Three months post-surgery, verbal correspondence with the owner confirmed return to normal activity level and no emergence of neurological signs. Repeat examination and imaging were recommended.

一只 1 岁大的雄性阉雪貂(Mustela putorius furo)因左侧肘关节异常接受了评估。X光片显示左侧前肱骨近端有增生性骨质病变。计算机断层扫描证实左侧桡骨近端有一个大的薄壁扩张性骨质病变,并发现轴椎有多灶性增生病变,其中两个病变导致脊髓受压。患者接受了左前肢截肢和肩胛骨全切除术。组织病理学检查发现,肿块界限清楚,边缘有薄薄的成熟片状骨,软骨帽不连续,软骨周围/骨膜覆盖,与邻近骨骼相连。检查结果最符合骨软骨瘤或骨软骨瘤病(即多发性软骨外生瘤、遗传性多发性外生瘤)。在该标本中没有观察到恶性转化的迹象。术后三个月,与动物主人的口头沟通证实该动物已恢复正常活动水平,也没有出现神经症状。建议再次进行检查和成像。
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引用次数: 0
Stifle arthrodesis in dogs using semi-circular saw: Cadaveric study 使用半圆锯在狗身上进行跗关节固定术:尸体研究。
IF 1.3 3区 农林科学 Q2 VETERINARY SCIENCES Pub Date : 2024-09-01 Epub Date: 2024-08-08 DOI: 10.1016/j.tcam.2024.100905
Rafael Kretzer Carneiro , Mariana Matos Brose , Mariana de Jesus de Souza , Thayse Meyer , Francine Hergemoller , Augusto Amadori , Amanda Junqueira , Renato Otaviando do Rego , Márcio Poletto Ferreira

The aim of this study was to develop a novel surgical technique for stifle arthrodesis in dogs using a semicircular saw for tibial and femoral ostectomies through a medial approach. Ten pelvic limbs from five canine cadavers underwent stifle arthrodesis. Prior to the surgical procedure, the limbs were radiographed to rule out musculoskeletal abnormalities. Additionally, the radiographs were used for surgical planning. For the tibial ostectomy, the center of the intercondylar eminences, the cranial limit of the tibial plateau, and the caudal cortex of the tibia were used as landmarks. In the femur, the groove of the insertion of the long digital extensor tendon and the caudal portion of the femoral cortex served as references. The most significant iatrogenic injury during the surgical procedures was the complete rupture of the long digital extensor tendon during the tibial cut in one of the stifles. Dome ostectomies facilitated interfragmentary contact, allowing for adjustment of the angulation between the fragments without the need for additional ostectomies or osteotomies. The medial approach provided a clear view of intra-articular structures without causing extensive damage to surrounding tissues. After the procedures, the limbs were radiographed to calculate angular measurements, and the final angulation (mean) of the knee joints was 134.7 ± 11°.

本研究旨在开发一种新型手术技术,使用半圆锯通过内侧切口为犬进行胫骨和股骨骨膜切除术。五具犬尸体的十个骨盆肢体接受了跗关节成形术。手术前,对这些肢体进行了X光检查,以排除肌肉骨骼异常。此外,射线照片还用于手术规划。在进行胫骨骨膜切除术时,以髁间突中心、胫骨平台颅缘和胫骨尾部皮质为标志。在股骨,则以伸拇长肌腱插入凹槽和股骨皮质尾部为参照物。手术过程中最严重的先天性损伤是其中一只跗骨在胫骨切口处的长伸肌肌腱完全断裂。穹隆截骨术有利于胫骨片间的接触,从而可以调整胫骨片间的角度,而无需进行额外的截骨或截骨手术。内侧切口可清晰观察关节内结构,同时不会对周围组织造成大面积损伤。手术后,对肢体进行放射成像以计算角度测量值,膝关节的最终角度(平均值)为 134.7 ± 11°。
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引用次数: 0
Mycoplasma spp. pneumonia and subsequent pulmonary hypertension in a domestic ferret (Mustela putorius furo) 家养雪貂(Mustela putorius furo)的支原体肺炎和随后的肺动脉高压。
IF 1.3 3区 农林科学 Q2 VETERINARY SCIENCES Pub Date : 2024-07-01 Epub Date: 2024-07-05 DOI: 10.1016/j.tcam.2024.100891

Treatment of Mycoplasma spp. pneumonia has rarely been described in domestic ferrets (Mustela putorius furo). A 10-month-old, 0.53 kg, female spayed domestic ferret was presented for oxygen-dependent, chronic dyspnea of one-month's duration. Physical examination findings included dyspnea, tachypnea, increased bronchovesicular sounds bilaterally, and an intermittent non-productive cough. Bloodwork abnormalities included a mild leukocytosis (8.6×103/µL), mild neutrophilia (4.0×103/µL), mild hypoalbuminemia (2.7 g/dL), mild hyperglobulinemia (3.3 g/dL), mild hyponatremia (147 mEq/L), and mild hypochloremia (111.4 mEq/L). Radiographs revealed a marked diffuse bronchial pattern with peribronchial cuffing, a mild main pulmonary artery bulge, distended caudal lobar pulmonary arteries, and decreased serosal detail within the abdomen. An echocardiogram revealed indications of moderate pulmonary hypertension and systolic anterior motion of the mitral valve. Polymerase chain reaction testing for Mycoplasma spp. was positive, and treatment was initiated with doxycycline (10 mg/kg PO q 12 h for 16 weeks), prednisolone (0.4 mg/kg PO q 12 h for 13 weeks, tapered to 0.2 mg/kg PO q 12 h for two weeks, then eventually increased to 0.7 mg/kg PO q 12 h until further notice), sildenafil (0.3 mg/kg PO q 24 h for 13 weeks), and oxygen supplementation via an oxygen cage for six weeks. On repeat echocardiogram eleven weeks after initiation of doxycycline therapy, the pulmonary hypertension had resolved. At follow up six months later, the ferret was stable on previously prescribed medications and did not require oxygen supplementation. Mycoplasma spp. and pulmonary hypertension should be considered in cases of respiratory distress in ferrets.

家养雪貂(Mustela putorius furo)支原体肺炎的治疗方法很少见。一只 10 个月大、体重 0.53 千克、已绝育的雌性家养雪貂,因氧依赖性慢性呼吸困难而就诊,病程长达一个月。体格检查结果包括呼吸困难、呼吸急促、双侧支气管音增高和间歇性无痰咳嗽。血常规异常包括轻度白细胞增多(8.6×103/μL)、轻度中性粒细胞增多(4.0×103/μL)、轻度低白蛋白血症(2.7 g/dL)、轻度高球蛋白血症(3.3 g/dL)、轻度低钠血症(147 mEq/L)和轻度低氯血症(111.4 mEq/L)。X光片显示,患者的支气管呈明显的弥漫型,支气管周围充血,主肺动脉轻度隆起,尾叶肺动脉膨胀,腹部浆膜细节减少。超声心动图显示有中度肺动脉高压和二尖瓣收缩期前移的迹象。支原体聚合酶链反应检测呈阳性,开始使用强力霉素(10 毫克/千克,12 小时一次,连续使用 16 周)、泼尼松龙(0.4 毫克/千克,12 小时一次,连续使用 13 周,之后逐渐减至 0.2 毫克/千克,12 小时一次,连续使用两周,最后增至 0.7 毫克/千克,12 小时一次,直到另行通知为止)、西地那非(0.3 毫克/千克,24 小时一次,连续使用 13 周)进行治疗,并通过氧气笼供氧 6 周。多西环素治疗 11 周后,再次进行超声心动图检查时,肺动脉高压症状已缓解。6 个月后的随访中,雪貂服用之前处方的药物情况稳定,不需要补充氧气。在雪貂出现呼吸困难时,应考虑支原体和肺动脉高压。
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引用次数: 0
Acute manganese toxicosis related to joint health supplement ingestion in two dogs 两只狗因摄入关节保健品导致急性锰中毒。
IF 1.1 3区 农林科学 Q2 VETERINARY SCIENCES Pub Date : 2024-07-01 Epub Date: 2024-05-23 DOI: 10.1016/j.tcam.2024.100877
Jared A. Jaffey , Tamara Chamberlin , Jennifer Hu

Two unrelated dogs residing in the same house including an 11-year-old, female spayed, mixed breed dog and a 7-year-old, female spayed, mixed breed dog ingested approximately 75 capsules of a human joint health supplement (Ligaplex I; Standard Process, WI, USA). A total of 2,062 mg of manganese was ingested between both dogs. Dog 1 developed acute fulminant liver failure and a severe coagulopathy that led to hepatic fractures and exsanguination from hemoabdomen. The estimated maximum time from ingestion of the joint health supplement to death was 36 to 48 h. Histologic examination revealed severe periportal hepatic necrosis with mild evidence of preexisiting liver disease and renal tubular epithelial necrosis. Manganese concentrations in liver and kidney tissue were severely increased. Dog 2 developed a severe acute liver injury and was hospitalized for 6 days. Therapies provided during hospitalization included intravenous fluids, maropitant, pantoprazole, N-acetylcysteine, vitamin C, S-adenosylmethionine, and silybin. The dog was treated long-term with S-adenosylmethionine, silybin, ursodiol, and vitamin C. Clinical and biochemical resolution occurred on the recheck examination that took place on day 44. The veterinary literature is comprised of only 2 reports containing 3 dogs that describe acute manganese intoxication. Here, we provide a detailed description of 2 dogs that developed manganese-induced toxicosis after ingestion of a human joint health supplement.

住在同一屋檐下的两只没有血缘关系的狗,包括一只 11 岁、已做绝育手术的雌性混种狗和一只 7 岁、已做绝育手术的雌性混种狗,它们都摄入了大约 75 粒人类关节健康补充剂(Ligaplex I;美国威斯康星州标准工艺公司)。两只狗总共摄入了 2,062 毫克锰。狗 1 出现了急性暴发性肝衰竭和严重的凝血功能障碍,导致肝脏骨折和血腹出血。据估计,从摄入关节保健品到死亡的最长时间为 36 到 48 小时。组织学检查显示,狗 1 出现了严重的肝周围坏死,并伴有轻微的先兆肝病和肾小管上皮坏死。肝脏和肾脏组织中的锰浓度严重升高。狗 2 出现了严重的急性肝损伤,住院治疗了 6 天。住院期间提供的治疗包括静脉输液、马罗匹坦、泮托拉唑、N-乙酰半胱氨酸、维生素 C、S-腺苷蛋氨酸和水飞蓟宾。该犬长期接受 S-腺苷蛋氨酸、水飞蓟素、乌索地尔和维生素 C 的治疗。第 44 天复查时,临床和生化指标均已恢复正常。兽医文献中仅有两篇报告(共 3 只狗)描述了急性锰中毒。在此,我们详细描述了两只狗在摄入一种人类关节保健品后发生锰中毒的情况。
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引用次数: 0
Rhabdomyosarcoma in a Rabbit 兔子身上的横纹肌肉瘤
IF 1.3 3区 农林科学 Q2 VETERINARY SCIENCES Pub Date : 2024-07-01 Epub Date: 2024-07-06 DOI: 10.1016/j.tcam.2024.100892
Logan Kopp , Michael Garner , Kara Priest

A geriatric Holland Lop rabbit presented for acute lameness. A pathologic fracture of the right distal femur associated with a pleomorphic rhabdomyosarcoma was diagnosed, and staging radiographs showed no overt metastasis upon initial presentation. The limb was amputated and submitted for microscopic examination. Immunohistochemical evaluation revealed the neoplastic cells were positive for desmin and MyoD1, and negative for cytokeratin AE1/AE3, CD204, IBA-1, and SMA. Gross, histologic, and immunohistochemical evaluation confirmed a diagnosis of pleomorphic rhabdomyosarcoma. The patient died 396 days after amputation, and a post-mortem examination showed metastatic sarcoma to multiple organs.

一只老年荷兰罗普兔因急性跛行前来就诊。经诊断,该兔右侧股骨远端发生病理性骨折,并伴有多形性横纹肌肉瘤,初次就诊时的分期X光片显示没有明显转移。肢体被截肢并送去做显微镜检查。免疫组化评估显示,肿瘤细胞的desmin和MyoD1阳性,细胞角蛋白AE1/AE3、CD204、IBA-1和SMA阴性。经大体、组织学和免疫组化评估,确诊为多形性横纹肌肉瘤。患者在截肢 396 天后死亡,尸检显示肉瘤转移至多个器官。
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引用次数: 0
Surgical management of squamous cell carcinoma of the canine male external genitalia: 15 cases (1994-2020) 犬科雄性外生殖器鳞状细胞癌的手术治疗:15 例(1994-2020 年)。
IF 1.3 3区 农林科学 Q2 VETERINARY SCIENCES Pub Date : 2024-07-01 Epub Date: 2024-07-02 DOI: 10.1016/j.tcam.2024.100887
Pavlos Natsios , Kyriakos Chatzimisios , Vassiliki Tsioli , Dimitra Psalla , Vasileia Angelou , Ioannis Savvas , Lysimachos G Papazoglou

Fifteen male dogs with squamous cell carcinoma of the external genitalia were admitted for further investigation and surgical management between 1994 and 2020. The dogs belonged to various breeds. Thirteen dogs were intact and two were castrated with a median age of 8 years and a median weight of 28 kg. Seven dogs were white-coated and eight nonwhite coated. Scrotal ablation and orchiectomy were performed in four dogs, partial penile amputation in two, partial penile amputation plus partial preputial ablation in one, penile amputation, and scrotal urethrostomy in seven, and local preputial excision in one dog. Postoperative complications included hemorrhage in 10 dogs, bruising at the urethrostomy site in seven, and urethrostomy dehiscence in one dog. Tumor recurrence was recorded in six dogs. Dogs with poorly differentiated tumors that had tumor recurrence had shorter survival and worse prognosis compared to those with well and moderately differentiated tumors. The mean survival time was 48.132 months. After a median follow-up of 23 months (range: 8 to 72 months), eight dogs were alive, five were euthanized and two dogs died from unrelated causes. Surgical excision seems to be a treatment option for dogs with squamous cell carcinoma of the external genitalia.

1994 年至 2020 年间,15 只患有外生殖器鳞状细胞癌的雄性狗被送入医院接受进一步检查和手术治疗。这些狗属于不同品种。其中 13 只为完整犬,2 只为阉割犬,中位年龄为 8 岁,中位体重为 28 千克。其中 7 只为白毛犬,8 只为非白毛犬。四只狗进行了阴囊消融术和睾丸切除术,两只狗进行了阴茎部分切除术,一只狗进行了阴茎部分切除术和阴茎前庭部分消融术,七只狗进行了阴茎切除术和阴囊尿道造口术,一只狗进行了阴茎前庭局部切除术。术后并发症包括 10 只狗出现出血,7 只狗尿道前列腺切除术部位出现瘀伤,1 只狗尿道前列腺切除术开裂。有 6 只狗出现了肿瘤复发。与分化良好和中度分化的肿瘤相比,分化不良的肿瘤复发狗的生存期更短,预后更差。平均存活时间为 48.132 个月。中位随访时间为 23 个月(范围:8 至 72 个月),其中 8 只狗存活,5 只狗安乐死,2 只狗死于其他原因。对于患有外生殖器鳞状细胞癌的狗来说,手术切除似乎是一种治疗选择。
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引用次数: 0
A retrospective study of Monteggia fractures in 8 dogs and 1 cat 对 8 条狗和 1 只猫的蒙氏骨折进行回顾性研究。
IF 1.3 3区 农林科学 Q2 VETERINARY SCIENCES Pub Date : 2024-07-01 Epub Date: 2024-07-02 DOI: 10.1016/j.tcam.2024.100889
A Anatolitou , AA Krystalli , KI Sideri , M Markou , G Kazakos , NN Prassinos

Monteggia fractures (MFs) are proximal ulnar fractures with concurrent dislocation of the radial head. This retrospective study aims to report the clinical findings and discuss the treatments and outcomes in MFs cases of 9 cases. Previous medical records of the animals were reviewed for history, clinical features, radiographic findings and choice of treatment. Treatment follow-up was evaluated over the telephone by discussion with the owners. Six animals included in the study were presented 2 days after the initial trauma. Five dogs were presented after common road traffic accidents and two after unknown traumas. All dogs had type I MFs, while the cat had a type III MF. Radiographical findings showed that six animals had extra-articular ulnar fractures, while three animals had intra-articular ulnar fractures. All animals were treated with open reduction of the ulna and internal fixation surgical methods. Six ulnar fractures were stabilized with intramedullary pin(s) with cerclage wire. The clinical outcome was assessed by the owners as full function in 3 dogs, acceptable function in 2 dogs and unacceptable function in 2 dogs with intraarticular ulnar fractures. The cat case was rated as full function. One dog died from a pulmonary fat embolism. The findings presented here provide some support that cerclage wire placement could be a satisfactory method for annular ligament reconstruction as a simple and economical treatment option. Also, to the authors' knowledge, this is the third report of MFs with intraarticular ulnar fractures. In this series, comminuted, intraarticular fractures were related to major postoperative complications.

Monteggia骨折(MFs)是一种尺骨近端骨折,同时伴有桡骨头脱位。这项回顾性研究旨在报告9例MFs病例的临床发现,并讨论其治疗方法和结果。研究人员查阅了这些动物以往的病历,包括病史、临床特征、影像学检查结果和治疗方案的选择。通过与动物主人的电话讨论,对治疗的后续情况进行了评估。研究中的六只动物是在初次外伤两天后出现的。其中五只狗是在普通道路交通事故后出现的,两只是在不明创伤后出现的。所有狗的中耳炎均为I型,而猫的中耳炎为III型。放射学检查结果显示,六只动物患有关节外尺桡骨骨折,三只动物患有关节内尺桡骨骨折。所有动物都接受了尺骨切开复位和内固定手术治疗。六只尺骨骨折的动物用带绷带钢丝的髓内针进行了固定。根据狗主人对临床结果的评估,3 只狗的功能完全恢复,2 只狗的功能可接受,2 只狗的功能不可接受。猫的病例被评为完全正常。一只狗死于肺脂肪栓塞。本文的研究结果在一定程度上支持了环状韧带重建术,认为环状韧带重建术是一种简单、经济的治疗方法。此外,据作者所知,这是第三份关于中型犬尺骨关节内骨折的报告。在这个系列中,粉碎性关节内骨折与主要的术后并发症有关。
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引用次数: 0
期刊
Topics in companion animal medicine
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