结石通片对小鼠的急性毒性试验及其对乙二酰胺致大鼠肾结石的作用研究

[目的]研究结石通片对小鼠的急性毒性作用,对健康大鼠的利尿作用,以及对乙二酰胺致大鼠肾结石的调节作用.[方法]取ICR小鼠40只,雌、雄各半,随机分为对照组与给药组,每组20只,观察结石通片给药前后小鼠的体重变化和死亡情况;另取SD大鼠36只,雌、雄各半,分为对照组、低剂量组(给予5％结石通片溶液)和高剂量组(给予10...     

茯苓多糖对磷酸铵镁致羊肾小管上皮细胞损伤的保护作用

氧化损伤在结石的形成过程中具有重要作用。茯苓多糖(PCP)具有抗炎、抗氧化、免疫调节等多种作用。本研究探讨PCP对磷酸铵镁(MAP)诱导的羊肾小管上皮细胞(RTECs)炎症和氧化应激的影响。结果显示,PCP显著减轻MAP诱导的氧化应激,表现为乳酸脱氢酶(LDH)和丙二醛(MDA)水平降低,超氧化物歧化酶(SOD)活性升高。PCP抑制MAP对炎症细胞因子IL-6和TNF-α的诱导作用。Western blot试验显示,PCP能增加Nrf2、 HO-1和NQO1的表达。综上所述,PCP通过提高细胞Nrf2、NQO1、HO-1的表达水平,从而对MAP诱导的肾小管上皮细胞氧化应激和炎症起到保护作用,这为羊尿结石的中药防控提供了依据。     

Ureteral obstructions in dogs and cats: a review of traditional and new interventional diagnostic and therapeutic options

Objective – To describe and review both traditional and newer diagnostic and therapeutic options for canine and feline ureteral obstructions currently being performed clinically in veterinary medicine. Data Sources – A Medline search with no date restrictions was used for this review. Human Data Synthesis – The human literature would support the use of minimally invasive endourological techniques for the treatment of nearly all causes of ureteral obstructions, whenever possible. This typically includes extracorporeal shockwave lithotripsy, intracorporeal lithotripsy via retrograde ureteroscopy or antegrade percutaneous nephroureterolithotomy, ureteral stenting, percutaneous nephrostomy tube placement, and laparoscopic endopyelotomy. Typically open surgery is only suggested in cases of ureteral or gynecological malignancy when en bloc resection is considered a good option, or when various methods of endourological techniques have failed. Veterinary Data Synthesis – The veterinary literature is scarce on the use of interventional endourological techniques for the treatment of ureteral obstructions and has been growing over the last 5 years. The current literature reports the use of extracorporeal shockwave lithotripsy for ureteral stones, as well as the use of ureteral stents for the treatment of trigonal obstructive transitional cell carcinoma, ureterolithiasis, and ureteral strictures. Traditional surgical interventions, like ureterotomy, ureteronephrectomy, and ureteral reimplantation is more vastly reported and accepted. This review will focus on new clinical data using interventional endourological techniques for ureteral obstructions. Conclusions – Various treatment options for ureteral obstructions are now available for veterinary patients, and the trend away from traditional surgical techniques will hopefully be followed now that they are technically and clinically available for dogs and cats.     

Ureteral papilla implantation as a technique for neoureterocystostomy in cats

OBJECTIVE: To evaluate ureteral papilla implantation for neoureterocystostomy in cats. STUDY DESIGN: Experimental study. ANIMALS: Five domestic shorthair cats. METHODS: The ureteral papilla was resected and the ureter isolated to the level of the renal hilus. The ureter was reimplanted into the apex of the bladder and the contralateral kidney was removed. Serum creatinine concentrations were measured daily for 7 days, then every other day from days 7-14, then every 3rd day until day 35. Ultrasound examination (once during the first 4 days, then again on day 35) and intravenous pyelography (day 35) were performed to assess ureteral patency. Histologic examination of the anastomosis was performed on day 35. RESULTS: Serum creatinine concentration remained within reference range for all cats except for a transient (<24 hour) increase (2.2, 2.3, and 3.6 mg/dL respectively) in 3 cats. Ultrasound examination and intravenous pyelography revealed no evidence of ureteral obstruction. Histologic examination revealed complete mucosal epithelialization of the anastomosis, moderate inflammation localized to residual suture material, and no evidence of vascular compromise of the ureteral papilla. CONCLUSION: Implantation of the ureteral papilla is a viable technique for neoureterocystostomy in cats. CLINICAL RELEVANCE: Advantages of ureteral papilla neoureterocystostomy include the technical ease of suturing the ureteral papilla, reduced risk of ureteral obstruction because sutures are not placed directly within the ureteral lumen and a more secure anastomosis because a complete 2-layer closure is performed.     

Effect of intravenous mannitol upon the resistive index in complete unilateral renal obstruction in dogs

Some studies have shown that relative to baseline, the renal resistive index (RI) remains unchanged in nonobstructed kidneys and increases in obstructed kidneys after administration of furosemide. To our knowledge, the effect of mannitol administration on the renal RI of dogs has not been reported. We evaluated the renal RI in 16 kidneys in 8 young adult dogs after administration of mannitol. The mean RI decreased significantly from baseline (P < .01). Additionally, left complete ureteral obstruction wasinduced in 5 dogs. Evaluation by Doppler ultrasonography was performed for 5 days. On the 5th day, Doppler examination was repeated at 30 and 60 minutes after administration of mannitol to obstructed dogs. After induction of left ureteral obstruction, the RI of the left kidney increased significantly over 5 consecutive days. Administration of mannitol decreased the RI in the nonobstructed contralateral kidneys, and thus the RI difference between obstructed and nonobstructed kidneys was increased above normal (P < .001). In conclusion, administration of mannitol may be useful as another diuretic agent to identify unilateral ureteral obstruction on Doppler sonographic examination.     

URETERAL DIVERTICULA IN TWO DOGS

We describe ureteral diverticula in two dogs and briefly review the related literature. The diagnosis of this condition is radiographic and based on the excretory urographic observation of multiple ureteral outpouchings. Pathologically, ureteral transitional cell hyperplasia and mucinous metaplasia result in submucosal proliferation of the urothelium and the formation of crypts and small cysts. Ureteral diverticulosis in humans is associated with an increased risk of urothelial malignancies, such as transitional cell carcinoma of the urinary bladder. Clinically, both dogs were older, small breed neutered females. Both had a history of chronic urinary obstruction. One dog died during surgery to remove an adrenal mass, and the other was euthanized at the owner's request because of an inoperable bladder neoplasm. Histopathologic diagnosis of ureteral lesions confirmed the radiographic diagnosis of ureteral diverticula in both dogs.     

一例猫膀胱及双侧输尿管破裂的诊治

2岁公猫,尿道堵塞排不出尿,造成膀胱及双侧输尿管破裂、尿腹。手术将右肾切除,左侧输尿管与膀胱吻合,同时做尿道造口,输液调节体液平衡、酸碱平衡、离子平衡、控制感染而治愈。目前完全正常,恢复良好。     

URETERAL DUPLICATION IN A DOG

A male neutered dog of unknown age had recurrent urinary tract infection and caudal abdominal pain. Using sonography, large dilated tubular structure filled with echogenic fluid was seen extending from the left kidney to the level of the bladder neck. In an excretory urogram there was left hydronephrosis with a normal ureter. Computed tomographic evaluation of the abdomen confirmed a large tubular structure extending from the kidney with a blind ending caudally. The left kidney, ureter, and associated tubular structure were surgically removed. No connection was found between the tubular structure and the ureter. Gross evaluation and histopathologic evaluation confirmed the tubular structure to be a ureter, consistent with a diagnosis of ureteral duplication.     

Bovine urolithiasis in Andhra Pradesh

Urinary calculi from three bulls, six bullocks and one male buffalo from the Guntur district were investigated. By chemical analysis only CO₃², Ca²⁺, Mg²⁺, and a trace of PO¾^- were found. X-ray analysis showed that all samples consisted of magnesian calcite with an atomic percentage of magnesium between 14.5 and 21.9. The size of the crystallites varied approx. from 200 to 400 Å.     

Multimodality imaging of primary ureteral hemangiosarcoma with thoracic metastasis in an adult dog

A 12‐year‐old spayed female standard Poodle was presented for investigation of severe hematuria. Abdominal ultrasound and thoracic and abdominal computed tomography identified severe hydronephrosis due to an obstructive ureteral mass with no evidence of metastasis. Histological examination after nephrectomy and ureterectomy confirmed an obstructive ureteral hemangiosarcoma. Forty days after surgery, the dog was presented with severe dyspnea. Survey radiographs of the thorax revealed a severe diffuse nodular interstitial pattern. Postmortem histological examination revealed pulmonary metastasis of hemangiosarcoma.     

南京地区犬尿石症的调查及尿结石成分的分析

对南京地区5家具有代表性的动物医院中近2年犬尿石症临床病例进行了系统调查,并应用傅立叶红外光谱、扫描电镜结合X-射线能谱对84个自然病例的尿石样品的成分作了分析。结果表明:(1):南京地区犬尿石症的发病率为0.58%~1.31%,其中雄性占54.02%,雌性占45.98%。(2)南京地区犬尿结石有4种类型,即磷酸铵镁(鸟粪石)、草酸钙、尿酸盐和磷酸钙。描述了各种结石的显微结构特征,并讨论了犬尿石症的发病原因。     

犬肾镰刀状切开术试验

为了探索犬肾结石的手术治疗方法,本试验选3~5个月之间,体重6~10 kg的本地杂交犬2只,采用镰刀状肾实质切开法行左侧肾脏切开,分别于术前、术后第3、7、14、21、28天采集血清进行尿素氮(BUN)、肌酐(CRE)两项肾功能指标测定,并于术后观察其整体状态、排尿表现及肾脏的形态变化。结果表明,手术导致试验犬肾功能指标在术后1~2周内明显降低,于3~4周恢复正常;术肾与健康右肾相比,呈现不同程度的萎缩。     

IMAGING DIAGNOSIS — USE OF MULTIPHASE COMPUTED TOMOGRAPHIC UROGRAPHY IN THE DIAGNOSIS OF URETERAL TEAR IN A 6‐DAY‐OLD FOAL

A 6‐day‐old foal was evaluated for depression and inappetence. After initial stabilization, the filly developed a hypochloremic metabolic alkalosis and persistent hypercreatinemia. Abdominal ultrasound revealed fluid accumulation around the left kidney and a well‐defined rounded fluid filled structure dorsal to the urinary bladder. Computed tomography revealed a partial tear of the left ureter with distension of the retroperitoneal membrane. Exploratory celiotomy was performed to allow left kidney nephrectomy. At 6 months follow‐up, the filly was growing normally without complications. Ultrasound and CT imaging in this case provided an accurate diagnosis and a presurgical aid to select the appropriate therapeutic approach.     

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.