摘要
为了研究X线检查在犬临床诊疗过程中的具体应用情况和主要异常诊断等,本研究对2022年1—12月中国农业大学动物医院6 822例犬X线检查病例进行回顾性分析。结果显示,1岁以下684例(10.03%),1~7岁2 101例(30.80%),7岁以上4 037例(59.18%);雄性2 828例(41.45%),雄性去势1 169例(17.14%),雌性1 464例(21.46%),雌性绝育1 361例(19.95%)。共进行X线检查8 539例次,检查类型包括平片8 510例次,造影29例次。平片检查部位由多到少依次为胸部(3 191/8 510,37.50%)、四肢骨(3 023/8 510,35.52%)、中轴骨(1 476/8 510,17.34%)和腹部(820/8 510,9.64%)。胸部主要影像学异常为肺非结构间质型(939/3 191,29.43%)和心影增大(649/3 191,20.34%);四肢骨主要影像学异常为骨关节炎(1 089/3 023,36.02%);中轴骨主要影像学异常为椎间隙狭窄(876/1 476,59.35%)和退行性病变(443/1 476,30.01%);腹部主要影像学异常为下泌尿道结石(261/820,31.83%)。造影检查包括逆行性尿路造影25例次和消化道造影4例次。逆行性尿道造影检查检出的主要异常表现/诊断为尿道狭窄(7/25,28.00%),消化道造影检查检出的主要异常表现/诊断为造影剂残留(3/4,75.00%)。结果表明,X线检查在犬类临床疾病的诊断和治疗中应用广泛,尤其在心脏疾病、骨关节疾病和泌尿道疾病方面具有重要的临床应用价值。
This study conducted a retrospective analysis of 6822 canine X-ray examinations cases at China Agricultural University Veterinary Teaching Hospital from January to December 2022 to investigate the specific applications of X-ray examinations in the clinical diagnosis and treatment of dogs and to identify the main abnormal diagnoses.The results showed that 684 cases(10.03%)were under 1 year old,2101 cases(30.80%)were between 1 and 7 years old,and 4037 cases(59.18%)were over 7 years old.There were 2828 males(41.45%),1169 castrated males(17.14%),1464 females(21.46%),and 1361 sterilized females(19.95%).A total of 8539 X-ray examinations were performed,including 8510 plain film examinations and 29 contrast radiographs.The most common examination sites for plain film examinations were the chest(3191/8510,37.50%),limbs(3023/8510,35.52%),axial skeleton(1476/8510,17.34%),and abdomen(820/8510,9.64%).The main radiographic abnormalities in the chest were lung nonstructural interstitial pattern(939/3191,29.43%)and cardiac shadow enlargement(649/3191,20.34%);in the limbs,the main abnormality was osteoarthritis(1089/3023,36.02%);in the axial skeleton,the primary abnormalities were narrowed intervertebral spaces(876/1476,59.35%)and degenerative changes(443/1476,30.01%);in the abdomen,the most common abnormality was lower urinary tract calculus(261/820,31.83%).Contrast examinations included 25 cases of retrograde urography and 4 cases of digestive tract contrast radiography. The main abnormal findings/diagnoses detected in retrograde urography were urethrostenosis (7/25, 28.00%), while the main abnormal findings/diagnoses detected in digestive tract contrast radiography were contrast media remain (3/4, 75.00%). The results indicate that X-ray examinations are widely used in the diagnosis and treatment of canine clinical diseases, particularly in the diagnosis and treatment of heart diseases, osteoarticular diseases, and urinary tract diseases.
作者
杨腾昆
陈可欣
刘钢
傅梦竹
苏畅
张迪
夏兆飞
YANG Tengkun;CHEN Kexin;LIU Gang;FU Mengzhu;SU Chang;ZHANG Di;XIA Zhaofei(National Key Laboratory of Veterinary Public Health and Safety,College of Veterinary Medicine,China Agricultural University,Beijing 100193,China;China Agricultural University Veterinary Teaching Hospital,Beijing 100193,China)
出处
《中国兽医杂志》
CAS
北大核心
2024年第6期9-16,共8页
Chinese Journal of Veterinary Medicine
关键词
X线
回顾性分析
犬
影像学表现
诊断
X-ray
retrospective analysis
canine
radiographic finding
diagnose
