遵义地区犬尿石症的调查及其尿石成分分析

对遵义地区96例犬尿石症进行流行病学调查,采用标准结石定性成分分析试剂盒对96份结石样品进行化学分析,并分析1例典型犬膀胱结石病例(萨摩耶犬,雌性,5岁,23kg),内容包括临床症状、血液生化、血常规、尿比重及DR数字成像,并对其膀胱结石样品进行化学成分分析、电镜扫描观察、红外光谱分析、X射线衍射分析及X射线能谱分析。结果发现,96例病例中,雄性占61.29%(57/96),雌性占40.63%(39/96);7例为肾输尿管结石,44例为膀胱结石,11例为尿道结石,34例为膀胱与尿道结石。试剂盒检测发现,96份结石样品中磷酸铵镁占35.41%(34/96),磷酸钙占25.00%(24/96),草酸钙占12.50%(12/96),尿酸及尿酸盐占10.41%(10/96),复合型结石占16.67%(16/96)。调查结果为犬尿石症的诊断、治疗及今后了解遵义地区犬尿石症的流行情况提供参考。     

犬尿结石的化学成分分析研究

应用物理学特征观察、化学定性分析、X射线衍射分析等方法,分析了临床收集的1份犬肾结石样品、2份犬膀胱结石样品的化学成分,并根据结石的形成原因、机理探讨其防治方法。结果表明:肾结石样品为混合型结石,主要成分为水合磷酸氢镁、水合磷酸铁及水合磷酸钙,另外还可能含有少量水合硫酸钙;2份膀胱结石样品主要成分均为六水磷酸铵镁。对尿结石的成分分析,有助于了解结石形成机制,为尿结石的防治奠定一定基础。     

犬尿结石的化学成分分析研究

应用物理学特征观察、化学定性分析、X射线衍射分析等方法,分析了临床收集的1份犬肾结石样品、2份犬膀胱结石样品的化学成分,并根据结石的形成原因、机理探讨其防治方法.结果表明:肾结石样品为混合型结石,主要成分为水合磷酸氢镁、水合磷酸铁及水合磷酸钙,另外还可能含有少量水合硫酸钙;2份膀胱结石样品主要成分均为六水磷酸铵镁.对尿结石的成分分析,有助于了解结石形成机制,为尿结石的防治奠定一定基础.     

犬泌尿系结石X射线与B超对比诊断研究

犬泌尿系结石是犬常见泌尿系统疾病,包括肾脏结石、输尿管结石、膀胱结石与尿道结石,其中以膀胱结石与尿道结石最常见,以输尿管结石最少见。结石病例的准确诊断是手术治疗的前提。本研究应用X线与B超相结合的诊断方法对江苏畜牧兽医职业技术学院宠物医院于2008年5月份—2010年5月份所接诊的89例泌尿系结石患犬病例进行对比诊断,分析X射线和B超检查技术的准确率及优点、缺点,以便合理联合使用,从而提高临床诊断率,供同行     

贵宾犬膀胱结石并发纤维肉瘤的综合诊治

<正>犬膀胱结石属于犬尿石症的一种,是犬泌尿系统常见的疾病之一,与犬肾脏结石、输尿管结石、尿道结石统称为尿石症,其主要临床症状为尿频、尿血、尿急、排尿时努责或排尿困难、滴状尿甚至尿闭等,老年犬多发,其他年龄段的犬也有发生。根据X射线对结石的透射性可分为可透X射线结石(阴性结石)和不可透X射线结石(阳性结石)两种,阳性结石较常     

X射线衍射在犬尿结石成分分析中的初步应用

对临床收集的3份犬泌尿系统结石样品,经清洗、干燥及粉碎处理后采用X射线衍射技术对其结石成分进行物相分析。X射线衍射数据经处理后绘成图谱,结果表明,3份结石样品主要成分均与磷酸铵镁标准相一致。与传统化学分析方法相比,X射线衍射分析方法对结石成分进行物相分析和鉴定,更为客观、快速、直接,有助于了解结石形成机制及制定其预防措施。     

犬尿结石的化学成分分析

<正>犬尿石症是指犬尿路中的无机盐或有机盐类结晶的凝结物,即结石、积石或多量结晶刺激尿路黏膜而引起出血、炎症或阻塞的一种泌尿器官疾病。尿石症是一种常见的泌尿系统疾病,结石可沉积于泌尿系统的任何部位,其中以膀胱结石多见。准确检测尿结石的化学成分,对于正确诊断尿结石成因,预防尿结石形成和延缓其复发具有重要的临床意义。目前结石成分检测的主要方法有化学分析法、傅立叶变换红外光谱(FTIR)、拉曼光谱(RS)、X射线衍射分析及差热-热重等方法。另外用于尿结石形貌和结构分析的方法有光学显微镜、偏光显微镜、扫描电子显微镜(SEM)、透射电子显微镜(TEM)及原子力显微镜(AFM)等。本文观察了15份尿结石样品的表征,然后用化学分析法分析了结石的化学成分,结果如下。     

沙克犬膀胱结石的诊断及治疗

犬膀胱结石是犬泌尿道结石中最常见的一种疾病,该病是由多种因素共同作用的结果,多发生在中老龄犬,如不及时治疗,极易导致死亡。本人在临床期间,先后遇到了3例患该症的沙克犬,经过对症状表现进行观察,并通过B-超和X-射线确诊,采用外科手术的方法治疗,全部治愈。现将诊治情况介绍如下：     

犬膀胱结石的临床诊治

犬膀胱结石是指膀胱中的无机盐或有机盐类结晶的凝结物，即结石或多量结晶刺激膀胱黏膜而引起阻塞和出血性炎症的一种泌尿器官疾病。笔者与2012年在九台市动物医院遇到一例疑似犬膀胱结石病例，经临床和x-射线检查确诊后通过手术治疗最后该病犬康复。     

犬膀胱结石的临床诊治

犬膀胱结石是指膀胱中的无机盐或有机盐类结晶的凝结物,即结石或多量结晶刺激膀胱黏膜而引起阻塞和出血性炎症的一种泌尿器官疾病.笔者与2012年在九台市动物医院遇到一例疑似犬膀胱结石病例,经临床和x-射线检查确诊后通过手术治疗最后该病犬康复.     

In vitro prediction of canine urolith mineral composition using computed tomographic mean beam attenuation measurements

Determination of urolith mineral composition is critical for management of urolithiasis in dogs and cats. Using computed tomography, urolith physical density, and hence chemical composition, can be quantified using mean beam attenuation measurements (Hounsfield units; HU). This study was designed to establish in vitro reference ranges for three types of compositionally pure uroliths retrieved from dogs. Sixty-six canine uroliths (22 uric acid, 21 calcium oxalate, 14 struvite, nine mixed or compound) were placed in a phantom array. Uroliths were scanned at 120 kVp, 200 mA, and 80 kVp, 200 mA. The region of interest (ROI) for mean HU calculation was determined using two techniques, and reference ranges were calculated for each kVp using either ROI technique. HU for urolith types of pure composition were statistically different (Wilcoxon's two-sample test, P < 0.0083 [Bonferonni correction with six comparisons for total P < 0.05]) using both ROI techniques at either kVp. Struvite uroliths were not statistically different from mixed or compound uroliths. The accuracy for determination of composition of pure uroliths ranged from 86% to 93%; the prediction accuracy for each urolith mineral type and for all uroliths in general was highest when the ROI was hand-drawn just within the visible urolith border at 80 kVp. Technique of ROI determination and kVp that yielded the highest sensitivity, specificity, and positive and negative predictive values varied for each urolith type. Therefore, in this study, HU could be used to differentiate three types of uroliths of pure mineral composition in vitro. Further studies are needed to determine the predictive value of HU in vivo.     

The use of pneumatic impact lithotripsy and a retrieval pouch to create a closed system for removal of cystic calculi in standing male horses

Multiple techniques exist for removal of cystic calculi in the male horse, some of which use a perineal urethrotomy (PU) to facilitate access to the urinary bladder for removal of small uroliths in the standing, sedated horse. These techniques have limited efficacy in the removal of uroliths that have a diameter larger than the PU site, typically 4–5 cm. Pneumatic lithotripsy as reported in this article provides a novel way to fragment these larger uroliths while containing the fragments and protecting the urethra and urinary bladder. Ten geldings and one stallion underwent a lithotripsy procedure to remove one (n = 10) or several (n = 1) uroliths ranging in diameter from 4 to 9 cm. A PU was performed and a laparoscopic retrieval bag was inserted into the urinary bladder through the PU site. The urolith was manipulated into the bag using blind transrectal manipulation or endoscopic guidance and the opening of the bag was exteriorised out of the PU site. A pneumatic lithotrite was used to fragment the stone. When the urolith was adequately fragmented, the fragments were removed by the use of sponge forceps and by flushing the fragments from the bag with obstetrical lube. This was continued until the bag could smoothly be withdrawn from the urinary bladder. All uroliths were successfully removed. The PU sites healed without complication and none of the horses had recurrence of presenting clinical signs. This article also discusses the difference between two types of laparoscopic retrieval bags. Pneumatic impact lithotripsy in combination with a retrieval pouch offers a safe alternative to other methods for removal of cystic calculi in the horse.     

Parainguinal laparocystotomy for urolith removal in geldings

OBJECTIVE: To describe parainguinal laparocystotomy for urolith removal and to report outcome. STUDY DESIGN: Prospective clinical study. ANIMALS: Ten geldings with uroliths. METHODS: Signalment, number, size, type of uroliths, surgical technique, and complications were recorded. Long-term follow-up was obtained by telephone interviews with the client and/or examination by the referring veterinarian. RESULTS: Cystic calculi, 3-9 cm in diameter, were removed by parainguinal laparocystotomy. Mean surgical time was 59 minutes (range, 40-100 minutes). With this approach, ligation of the pudendal or superficial epigastric vessels was not needed. Serous incisional drainage resolved without treatment in 3 horses and 2 horses developed moderate-to-severe incisional swelling. On long-term follow-up (mean, 52 months; range, 11-82 months) for 9 horses, owners reported no recurrence of clinical signs associated with cystic calculi. CONCLUSIONS: Parainguinal laparotomy represents a satisfactory alternative approach to the apex of the bladder for urolith removal. CLINICAL RELEVANCE: Parainguinal laparocystotomy avoids the pudendal and superficial epigastric blood vessels that are encountered when performing median or paramedian laparocystotomy in geldings. This approach minimizes dead space by avoiding the reflection of the prepuce in paramedian or median approaches.     

Canine urolithiasis: a look at over 16 000 urolith submissions to the Canadian Veterinary Urolith Centre from February 1998 to April 2003

The purpose of this study was to report on the age, sex, breed, and mineral composition of 16 647 canine bladder uroliths submitted to the Canadian Veterinary Urolith Centre between February 1998 and April 2003. Each urolith submission was accompanied by a questionnaire. Of the submissions, approximately 43.8% were struvite and 41.5% oxalate. Struvite uroliths were most common in female dogs. Mixed breed dogs predominated, followed by the shih tzu, bichon frise, miniature schnauzer, Lhasa apso, and Yorkshire terrier. Oxalate uroliths were most common in males and in the miniature schnauzer, bichon frise, Lhasa apso, shih tzu, and Yorkshire terrier. Urate uroliths were most common in male Dalmations. Other urolith types, including cystine, xanthine, silica, and calcium phosphate, were less commonly reported. A review of risk factors for the various uroliths is presented, along with some recommendations for treatment and prevention.     

长期饲喂高鸡肝饲粮所致犬尿结石成分的分析研究

对１例长期饲喂高鸡肝饲粮所致犬尿结石样品,利用化学定性、Ｘ－射线衍射、扫描电镜观察与能谱分析等手段进行化学组成和显微形态分析。结果表明,样品中棺盖状晶体、蜂窝状颗粒及某些形状的颗粒均以磷酸铵镁为主要组成成分,形状不甚清晰的小粒状颗粒以磷酸钙为主要成分。另外还对数份饲喂高鸡肝饲粮之犬尿沉渣进行光学显微镜观察,发现有大量磷酸盐及少量碳酸钙。作者对尿石的形成及尿沉渣与尿石的关系进行了简要讨论,并对宠物犬尿石症的预防提出了建议     

TWINKLING ARTIFACT IN SMALL ANIMAL COLOR-DOPPLER SONOGRAPHY

Twinkling artifact is a recently described color-Doppler phenomenon that has not been studied in the veterinary field. Our purpose was to assess the grade of the artifact in vitro with varying urolith compositions, and to evaluate its potential role in clinical practice. Five canine and feline uroliths types of 100% mineral composition were studied in vitro with color-Doppler sonography, and a prospective study was performed in 41 patients with renal, bladder, gallbladder, or digestive focal hyperechogenicities. The images were analyzed for the presence and the grade of the artifact. Phantom study demonstrated the constant occurrence of the artifact regardless of the mineral composition of uroliths. Mottled and rough surfaced stones produced higher grades of twinkling artifact. High-grade, color-twinkling artifact generated by stones occured frequently in vivo. Bladder crystalluria was more frequently detected by artifact visualization than sample urinalysis performed by cystocentesis. In veterinary medicine, twinkling artifact may thus be considered an additional sonographic feature of urinary stones, and can lead to a more appropriate management of patients presenting gray-scale sonographic focal hyperechogenicities.     

Qualitative and quantitative analysis of uroliths in dogs: definitive determination of chemical type

Effective treatment and prevention of urolithiasis depends on accurate determination of the chemical nature of the uroliths. A widely used qualitative chemical procedure was compared with quantitative crystallographic analysis of 272 canine uroliths. Agreement between the 2 methods was 78%. Qualitative analysis failed to detect 62% of calcium-containing uroliths and 83% of carbonate apatite uroliths. Qualitative analysis gave false-positive results for urates in 55% of cystine uroliths. Mixed uroliths comprising 6% of the total could not be classified without quantitative analysis. Silicate, cystine, and urate uroliths generally were of pure composition. Crystallographic analysis indicated the following distribution of major types: struvite, 69%; calcium oxalate, 10%; urate, 7%; silicate, 3.5%; cystine, 3.2%; calcium phosphate, 1%; and mixed, 6%. Among dogs with struvite uroliths, 66% had positive results of bacterial culturing from the urinary bladder. Six breeds (Miniature Schnauzer, Welsh Corgi, Lhasa Apso, Yorkshire Terrier, Pekingese, and Pug) had a significantly higher risk for urolithiasis, compared with other breeds. The German Shepherd Dog had a significantly lowered risk, compared with other breeds. Two breeds had significant relationship to a specific type of urolith: Miniature Schnauzer for oxalate, and Dalmatian for urate (P less than 0.001). It was concluded that quantitative analysis, using crystallography, was superior for the detection of calcium oxalate, carbonate apatite, cystine, urate, and mixed uroliths.     

In vitro evaluation of canine and feline calcium oxalate urolith fragility via shock wave lithotripsy

OBJECTIVE: To test the hypothesis that feline calcium oxalate uroliths are intrinsically more resistant to comminution via shock wave lithotripsy (SWL) than canine calcium oxalate uroliths through comparison of the fragility of canine and feline uroliths in a quantitative in vitro test system. SAMPLE POPULATION: Calcium oxalate uroliths (previously obtained from dogs and cats) were matched by size and mineral composition to create 7 pairs of uroliths (1 canine and 1 feline urolith/pair). PROCEDURE: Uroliths were treated in vitro with 100 shock waves (20 kV; 1 Hz) by use of an electrohydraulic lithotripter. Urolith fragmentation was quantitatively assessed via determination of the percentage increase in projected area (calculated from the digital image area of each urolith before and after SWL). RESULTS: After SWL, canine uroliths (n = 7) fragmented to produce a mean +/- SD increase in image area of 238 +/- 104%, whereas feline uroliths (7) underwent significantly less fragmentation (mean image area increase of 78 +/- 97%). The post-SWL increase in fragment image area in 4 of 7 feline uroliths was < 50%, whereas it was > 150% in 6 of 7 canine uroliths. CONCLUSIONS AND CLINICAL RELEVANCE: Results indicate that feline calcium oxalate uroliths are less susceptible to fragmentation via SWL than canine calcium oxalate uroliths. In some cats, SWL may not be efficacious for fragmentation of calcium oxalate nephroliths or ureteroliths because the high numbers of shock waves required to adequately fragment the uroliths may cause renal injury.     

Feline urethral plugs and bladder uroliths: a review of 5484 submissions 1998-2003

The results of 5484 submissions from cats to the Canadian Veterinary Urolith Centre between February 1998 and February 2003 are presented. Of the submissions, 618 were urethral plugs and 4866 were bladder uroliths. The majority of the urethral plugs were from male domestic shorthair and longhair cats. Approximately 50% of the urolith submissions were oxalate, 44% were struvite. Oxalate uroliths were the most common mineral type in males and in Himalayan, Persian, and Siamese cats. Struvite uroliths were the most common mineral type in domestic shorthair and longhair cats. Females outnumbered males by 1.4:1 in struvite urolith submissions. A review of risk factors for urethral plugs and bladder uroliths is presented.     

Comparison of three techniques for the diagnosis of urinary tract infections in dogs with urolithiasis

OBJECTIVES: To identify an appropriate sampling technique(s) to accurately detect the bacteria causing urinary tract infections in dogs with urolithiasis. METHODS: Twenty-one dogs with urolithiasis were included in the study. Three types of samples were taken from each dog. Urine was collected by cystocentesis, and a urinary bladder mucosal biopsy and urolith were retrieved during cystotomy. The samples were then cultured on blood agar and MacConkey's agar to identify the bacteria associated with urinary tract infections. RESULTS: Bacterial urinary tract infection was found in 16 cases (76.19 per cent). The most prevalent bacteria found to cause urinary tract infection were Escherichia coli (n=7), followed by coagulase-positive Staphylococcus species (n=4), Klebsiella pneumoniae (n=2), Pseudomonas aeruginosa (n=2) and Proteus mirabilis (n=1). In the case of a positive urine culture, the same bacteria were also cultured from the urinary bladder mucosal biopsy alone or from both the urinary bladder mucosal biopsy and urolith. However, in the case of a negative urine culture, bacteria were found to be present in the urinary bladder mucosal biopsy or urolith cultures in 23.81 per cent of dogs. The uroliths that gave positive culture results were either infection-induced uroliths composed of struvite and calcium carbonate phosphate, ammonium acid urate only or metabolic uroliths composed of calcium oxalate and calcium phosphate, or calcium phosphate only. All the uroliths that gave negative culture results were metabolic uroliths composed of calcium oxalate and/or calcium phosphate, and uric acid and calcium phosphate. CLINICAL SIGNIFICANCE: When the culture from the urine obtained by cystocentesis is negative, cultures of urinary bladder mucosal biopsy and urolith are recommended in dogs with urolithiasis in order to accurately assess the microbiological status of the urinary tract.