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约束性生理学并非所有患有异常性胆胸部症的狗都存在
概括
如果缺少收缩生理学,对患有异常性胆胸部 (IC) 的狗来说,可能不需要进行次总皮切除术. 在IC的狗进行手术干预之前,通过心脏导管检查收缩生理学至关重要.
科学领域:
- 兽医心脏病学 兽医心脏病学
- 胸部外科手术 胸部外科手术
- 狗医疗 狗医疗 狗医疗
背景情况:
- 狗的异常性胸 (IC) 可能与收缩生理学 (CP) 相关.
- 术治疗IC通常涉及胸腔管绑定 (TDL),但辅助手术的作用,如在CP的病例中,亚总心膜切除术是不清楚的.
研究的目的:
- 调查亚全心切除术对异常性胆胸病犬的复发率和长期结果的影响,特别是比较具有和没有约束性生理学的狗.
主要方法:
- 追溯分析了12只被诊断患有IC的客户拥有的狗.
- 狗被分为一个约束性生理 (CP) 组 (n=8) 或非CP (NCP) 组 (n=4).
- 所有的狗都经历了胸管绑定 (TDL);CP组也接受了亚总心膜切除术.
主要成果:
- 在NCP组 (仅TDL) 和CP组 (TDL + 亚全心切除术) 之间,1,2,3年无病和生存率相似.
- 在CP组的4只狗和NCP组的1只狗中,胆胸部的复发需要多次手术.
- 两组之间没有观察到无病率 (P = .935) 或生存率 (P = .317) 的显著差异.
结论:
- 在IC的狗中,应在手术治疗前使用心脏导管检查来评估狭窄生理学.
- 如果不存在收缩生理学,亚总心膜切除可能不会为IC犬的复发或长期结果提供额外的好处.
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