用阿尔法上腺体受体对抗剂或手术治疗的255只狗的长期存活率的多中心,回顾性分析 (2010-2021)
Matthew M E Steele1,2, Marit F van den Berg3, Sara Galac3
1ChesterGates Veterinary Specialists, Chester, UK.
Journal of veterinary internal medicine
|September 2, 2025
概括
用上腺切除术治疗的上腺细胞瘤 (PCC) 患者的存活时间明显超过单独使用阿尔法上腺受体抗剂 (AA) 治疗的患者. 手术前的AA治疗改善了手术治疗的狗的生存结果.
科学领域:
- 动物医学
- 癌症学
- 比较医学
背景情况:
- 乳腺红细胞瘤 (PCC) 是狗上腺髓的瘤.
- 用上腺受体抗剂治疗的PCC犬的生存数据有限.
- 需要对PCC的医疗和外科治疗进行比较.
研究的目的:
- 评估和比较医疗治疗和手术治疗的狗的存活率.
- 确定影响PCC狗生存的因素.
主要方法:
- 在255只PCC犬中进行了回顾性多中心研究.
- 狗被分为三个组:单独使用α上腺受体抗剂 (AA),上腺切除 +/- AA,或不接受治疗.
- 生存分析包括卡普兰-梅尔估计,Log-Rank测试和Cox比例危险分析.
主要成果:
- 所有狗的平均总生存时间为854天.
- 与单独AA治疗的狗 (第1组,247天) 相比,接受上腺切除治疗的狗的中位数OST显著更长 (927天).
- 在第二组进行手术前的AA治疗与出院后的存活率有所改善 (97. 8% vs 85. 2%). 呈现时缺乏临床症状与生存时间的增加相关.
结论:
- 与单独AA治疗相比,上腺切除术为PCC的狗提供了更好的生存结果.
- 在手术前给药对接受上腺切除术的狗有好处.
- 在诊断时没有临床症状是PCC狗的积极预后指标.
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