背景:尽管在狗的超声检查中看到膀胱中漂浮的回声灶很普遍,令人惊讶的是,关于其意义的文章很少,包括它与尿液分析的潜在关联。该研究的目的是确定漂浮在狗膀胱中的回声灶的诊断价值。
结果:-对45只狗进行了膀胱超声检查。检查膀胱内容物,并根据是否存在漂浮的回声颗粒将其分为阳性(包含回声颗粒)和阴性(不存在回声颗粒)组。通过膀胱穿刺术收集5mL尿液。进行尿液分析和培养,并研究超声评估与尿液分析结果之间的关系。在超声检查中有膀胱回声颗粒的狗中,血尿的患病率,脓尿,菌尿,和脂质尿症为88.9%,92.6%,29.6%,70.3%,分别。然而,在膀胱中没有观察到回声颗粒的狗中,血尿的患病率,脓尿,菌尿,而脂尿是77%,50%,5.5%,77%,分别。膀胱碎片与尿培养阳性之间存在显著关联,与匹配的对照组相比,比值比为7.15(95%置信区间:0.81-63.28)。此外,漂浮回声颗粒的存在与脓尿之间存在显着关系,和尿液颜色(p≤0.05)。
结论:结论:目前的结果表明,在超声检测膀胱碎片可以预测犬的脓尿和尿培养阳性。
BACKGROUND: Despite the prevalence of echogenic foci floating in the urinary bladder seen in ultrasonography in dogs, surprisingly little has been written on its significance, including its potential association with urinalysis. The objective of the study was to determine the diagnostic value of the echogenic foci floating in urinary bladders in dogs.
RESULTS: - Cystosonography was performed on 45 dogs. Bladder contents were examined and divided into positive (containing echogenic particles) and negative (absent echogenic particles) groups according to the presence and absence of floating echogenic particles. Five mL of urine was collected via cystocentesis. Urine analysis and culture were done and the relationship between ultrasound evaluation and urinalysis results was investigated. In dogs with bladder echogenic particles in ultrasonography, the prevalence of hematuria, pyuria, bacteriuria, and lipiduria were 88.9%, 92.6%, 29.6%, and 70.3%, respectively. However, in dogs in which echogenic particles were not observed in their bladders, the prevalence of hematuria, pyuria, bacteriuria, and lipiduria was 77%, 50%, 5.5%, and 77%, respectively. There was a significant association between bladder debris and positive urine culture, with an odds ratio of 7.15 (95% confidence interval: 0.81-63.28) compared with matched controls. Furthermore, there was a significant relationship between the presence of floating echogenic particles with pyuria, and urine color ( p ≤ 0.05).
CONCLUSIONS: In conclusion, the present results showed the detection of bladder debris on ultrasound can be a predictor for pyuria and positive urine culture in dogs.