• 제목/요약/키워드: Urinary calculi

검색결과 29건 처리시간 0.017초

거세한우 장기비육에 따른 비뇨기결석 발생조사 (The Survey of Urinary Calculi Following Long Feeding Period in Korean Native Steers)

  • 조용일;허태영;강석진;서국현;고문석;김경훈;나기정;김일화
    • 한국임상수의학회지
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    • 제22권4호
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    • pp.357-364
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    • 2005
  • We surveyed the incidence of urinary calculi for feeding period, urinary lesion, composition of calculi and changes of serum chemistry with Korean native castrated steers, which are growing until 26 through 31 months. Without showing any clinical signs such as urethral obstruction, hydronephrosis and strangury for all group, $37.8\%$ (34 out of 90) of Korean native steers carried urinary calculi in carcass. The incidence of urine calculi far different feeding stages from 26 to 31 months were observed as $13.3-60.0\%$er, no significant differences were detected. The distribution of calculi were kidney $(24.4\%)$, kidney and bladder $(10\%)$ and kidney, bladder and urine $(3.3\%)$. Congestion of urinary bladder was shown in $26.6\%$ of Korean native steers. Korean native steers with urinary calculi $(41.2\%)$ had more possibilities (P<0.05) to bring outbreaks of congestion of urinary bladder than those of without calculi $(17.8\%)$. The main composition of calculi were struvite (magnesium ammonium phosphate crystals), calcium phosphate, calcium carbonate, calcium oxalate, non-oxalate calcium, ammonia and phosphate. The distribution of urine pH was $71.7\%$(above pH 8.0), $12.2\%$ (between pH 7.0 and pH 8.0) and $16.6\%$ (under pH 7.0). Like shown in herbivores, most of the urine pH was distributed as alkaline urine. Serum creatinine was shown significant difference (P<0.05) according to incidence of calculi but other serum chemistry didn't show any difference in serum chemistry. These results suggest that feeding until 26 to 31 months in Korean native steers castrated at 6 months of the age elicits urinary calculi and congestion of urinary bladder, but not clinical abnormality. And adjustment of the dietary Can ratio to a level of 2:1 or greater during feeding period may reduce the possibility of incidence of urinary calculi in Korean native steers.

개의 요석증: 품종, 나이, 성별, 해부학적 위치, 소변 pH, 요결정, 요결석성분 사이의 상호 관계(270 증례) (Canine Urolithiasis: Interrelation between Breed, Age, Sex, Anatomic Location, Urine pH, Crystal and Mineral Composition of Uroliths (270 cases))

  • 김채욱;최을수;제갈준;배보경;이두형;고영환;이창우
    • 한국임상수의학회지
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    • 제21권3호
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    • pp.264-269
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    • 2004
  • A retrospective analysis was performed with 270 cases of canine urolithiasis examined at Laboratory of Clinical Pathology, College of Veterinary Medicine, Seoul Nat'l University in the period between January 2001 and December 2003. The Shih-Tzu (64 cases), Yorkshire terrier (60 cases), miniature schnauzer (41 cases) and maltese terrier (36 cases) had higher incidences than other breeds. Canine urolithiasis occurred from 4 months to 15 years of age, but the most prevalent age was 3 years. Mean age was $5.68\pm3.14$ years. The major mineral component. of calculi was struvite (54.1%) and calcium oxalate (30.4%). There was no sex prevalences: male 131 cases, female 132 cases. The most prevalent anatomic locations of calculi were urinary bladder (53 of 131 cases), urethra (24 of 131 cases) and bladder/urethra (45 of 131 cases) in males and urinary bladder (103 of 132 Cases) in females. The major mineral component of calculi in urinary bladder was struvite (102 of 160 cases), and that in urethra (13 of 25 cases) and multiple locations (29 of 62 cases) was calcium oxalate: The major components of calculi were not always consistent with the components which could be expected from urine pH and crystals. So it is suggested that the components of the calculi must be analyzed after surgical removal to prevent the recurrence when the calculi could not be dissolved by diets or urine pH modifiers.

개에서의 요 결석증: 품종, 성별, 발생부위, 요 검사, 및 결석성분의 비교 (30예) (Urinalysis and Mineral Composition of Calculus (30 Cases))

  • 정성목
    • 한국임상수의학회지
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    • 제19권2호
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    • pp.272-275
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    • 2002
  • A retrospective analysis was performed with 30 cases of canine urolithiasis presented in the period between January and December 2001 The miniature schnauzer (6 cases), maltese (5 cases) and Shih Tzu (4 cases) had higher incidences than other breeds. Canine urolithiasis occurred from one year till 12 years, but the most prevalent age was 3 years. Urinary calculi occurred more often in males (63%) than females. The most prevalent anatomic locations of calculi were urinary bladder (8 of 22 cases) and urethra (13 of 22 cases) in males and urinary bladder (10 of 18 cases) in females. The major mineral component of calculi was struvite (72%). In male dogs, out of 15 cases, 10 cases were struvite and 5 cases were calcium oxalate uroliths. And, in female dogs, 8 of 10 cases were struvite. In some cases, mineral composition and urine pH was not matched. In conclusion, in the dogs with predisposing factors for urolithiasis, regular examination or proper diet should be added to prevent the disease. And the mineral composition of calculi should not be predicted solely by the pH or crystal component of urine.

Giant Prostatic Urethral Calculus in a Maltese Dog: a Case Report

  • Noh, Da-ji;Jung, Dong-uk;Choi, Soo-young;Lee, Ki-ja
    • 한국임상수의학회지
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    • 제36권3호
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    • pp.176-179
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    • 2019
  • A giant prostatic urethral calculus has not been previously reported in dogs and should be distinguished from prostatic calculus. A 7-year-old castrated male Maltese dog with a 2-month history of relapsing hematuria and urinary incontinence with slowly progressing paraphimosis was referred. On abdominal radiography and ultrasonography, there was a giant calculus in the region of prostate or urethra, one left ureteral calculus, one urinary bladder calculus, and two penile urethral calculi. On computed tomography for evaluating the accurate location and planning the surgical approach, the giant calculus was located at the prostatic urethra. The calculi in urinary bladder, prostatic and penile urethra were surgically removed. These calculi were mixed-type of calcium oxalate monohydrate, struvite and calcium phosphate carbonate. On the basis of the urolith analysis and urine bacterial culture results, antibiotics and prescription diet were adjusted. At the 3-month follow-up, there were no clinical sings but paraphimosis was still remained, and ultrasonography revealed newly-formed, small urethral calculi at the prostatic urethra. This is the first report to describe the case of a canine giant prostatic urethral calculus and its clinical signs, diagnostic imaging findings, treatment, and outcome. CT may be useful to assess the accurate location and surgical approach for such calculi.

다섯 마리의 개에서 복강경 보조 방광경을 이용한 요로결석 제거 (Removal of Urinary Calculi by Laparoscopic-Assisted Cystoscopy in Five Dogs)

  • 이승용;박세진;진소영;김민향;석성훈;김영기;이희천;연성찬
    • 한국임상수의학회지
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    • 제31권5호
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    • pp.371-375
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    • 2014
  • 다섯 마리의 개에서 복강경 보조 방광경을 이용하여 요로결석을 제거하였다. 모든 개에서 요로결석으로 인한 배뇨 장애를 보였으며, 수술 방법은 동일하다. 수술 전에 요도를 통해 도뇨관을 방광까지 장착한다. 배꼽 1-2 cm 위 정중선에 5 mm 캐뉼라를 장착하고, 복강경 카메라를 도입한다. 방광 선단 바로 위쪽의 복벽에 10 mm 캐뉼라를 장착하고, Babcock 포셉을 이용하여 방광 일부를 복강 밖으로 노출시킨다. 방광에 찌름절개하고 방광의 절개면과 복벽 절개면을 $360^{\circ}$ 단순 연속 봉합하여 일시적으로 고정시킨다. 2.7 mm 직경의 카메라를 sheath에 연결하여 방광 내부를 탐색하고 지속적인 세척 하에 요로결석을 제거한다. 술 후 주요한 합병증은 나타나지 않았으며, 7-21 개월 간의 추적검사 결과 배뇨장애나 어떠한 재발의 증거도 관찰되지 않았다.

개에서 신 절개를 통한 신 결석 제거 2례 (Nephrotomy for Removal of Renal Calculi in Two Dog)

  • 김혜진;장화석;송영성;김성미;김순신;최치봉;김휘율
    • 한국임상수의학회지
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    • 제21권1호
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    • pp.66-71
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    • 2004
  • 2 Cases of nephrotomy for removal of calculi in dog were referred to veterinary teaching hospital of Konkuk University. In case 1, a 5 year-old, castrated male Yorkshire Terrier dog was referred because of intermittent hematuria, pain in urination for one month. Hematologic and chemical examination showed mild increased BUN and CPK. Radiographic findings revealed radiopaque materials in the urinary bladder, urethra, and left kidney. Retrograde hydropropulsion was performed to move the calculi into the bladder, and cystotomy was done to remove calculi. Nephrotomy was performed to removal of the calculi from the left renal pelvis and calyx. After operation renal function were recovered and preserved. In case 2, a 5 year-old, neutral female Schnauzer dog was referred because of persistant vomiting, anorexia, and celialgia for 20 days. Hematologic and chemical examination showed stress leucogram, moderate azotemia, hypercalcemia, hyperphosphatemia, and increased ALP. Radiographic findings revealed enlargement of the left kidney and radiopaque materials in the both of the kidneys. On excretory urography, left kidney was no pyelogram. On ultrasonography, renal tissue was very thin and distended renal pelvis appeared. Nephrectomy of nonfunctional left kidney and nephrotomy for removal of calculi from the right renal pelvis and calyx were done. One week after operation, renal and hepatic functions were recovered. So, in cases of renal calculi, it is necessary that renal calculi are extracted actively as far as the patient's body condition endurable.

Computed tomographic assessment of retrograde urohydropropulsion in male dogs and prediction of stone composition using Hounsfield unit in dogs and cats

  • Bruwier, Aurelie;Godart, Benjamin;Gatel, Laure;Leperlier, Dimitri;Bedu, Anne-Sophie
    • Journal of Veterinary Science
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    • 제23권5호
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    • pp.65.1-65.10
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    • 2022
  • Background: Persistent uroliths after a cystotomy in dogs are a common cause of surgical failure. Objectives: This study examined the following: the success rate of retrograde urohydropropulsion in male dogs using non-enhanced computed tomography (CT), whether the CT mean beam attenuation values in Hounsfield Units (mHU) measured in vivo could predict the urolithiasis composition and whether the selected reconstruction kernel may influence the measured mHU. Methods: All dogs and cats that presented with lower urinary tract uroliths and had a non-enhanced CT preceding surgery were included. In male dogs, CT was performed after retrograde urohydropropulsion to detect the remaining urethral calculi. The percentage and location of persistent calculi were recorded. The images were reconstructed using three kernels, from smooth to ultrasharp, and the calculi mHU were measured. Results: Sixty-five patients were included in the study. The success rate of retrograde urohydropropulsion in the 45 male dogs was 55.6% and 86.7% at the first and second attempts, respectively. The predominant components of the calculi were cystine (20), struvite (15), calcium oxalate (8), and urate (7). The convolution kernel influenced the mHU values (p < 0.05). The difference in mHU regarding the calculus composition was better assessed using the smoother kernel. A mHU greater than 1,000 HU was predictive of calcium oxalate calculi. Conclusions: Non-enhanced CT is useful for controlling the success of retrograde urohydropropulsion. The mHU could allow a prediction of the calculus composition, particularly for calcium oxalate, which may help determine the therapeutic strategy.

컬러 도플러 초음파에서 Twinkling artifacts의 유용성 (Usefulness of Twinkling Artifacts in Color Doppler Ultrasonography)

  • 심현선;권경태
    • 한국콘텐츠학회논문지
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    • 제16권10호
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    • pp.291-298
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    • 2016
  • 연구의 목적은 컬러 도플러 초음파를 이용하여 twinkling artifact(AT)의 발생 강도를 비교함으로서 요로결석 진단에 twinkling artifact의 유용성을 알아보고자 In vitro와 In vivo로 진행되었다. In vitro 실험은 수조에 도토리묵을 넣고 도토리묵의 표면에 물질을 올려놓고 컬러 도플러 초음파를 시행하여 twinkling artifact의 발생 정도를 실험하였다. In vivo 실험은 요로결석 환자 31명(신장결석 ; 16명, 요관결석: 15명)을 대상으로 하였다. In vitro 및 In vivo 검사에서 twinkling artifact 발생 강도는 0에서 3등급으로 분류하였다. In vitro 검사에서 표면이 거친 소금, 나사, 큐빅 물질에서 높은 등급의 twinkling artifact가 발생하였다. 회색도(B-mode) 영상에서 요로결석 검출률은 신장에서 37%, 요관에서 60%로 나타났다. 모든 요로결석 환자에서 twinkling artifact 발생하였다. 컬러 도플러 초음파에서 twinkling artifact 발생 정도는 물질의 표면의 거칠기와 관계가 있었다. 회색도 영상에서 요로결석이 분명하게 검출이 되지 않고 twinkling artifact가 발생한다면 요로결석 확진할 수 있다.

도축 한우의 방광에 대한 병리학적 연구 (Abattoir survey of bladders lesions in Korean cattle)

  • 육현수;이오형;임병무
    • 한국동물위생학회지
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    • 제28권1호
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    • pp.31-38
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    • 2005
  • To examine the prevalence and type of lesions in urinary bladder of Korean cattle, a random sampling survey was performed at a Jeonju abattoir in September 2000 and January 2001. Collected urinary bladder were examined grossly and histopathologically and the patterns of disease were investigated with season and sex. Of 735 cattle(99 bulls and 246 cows in September and 141 bulls, 3 steers, and 246 cows in January) surveyed, $26.3\%$ cattle with evident lesions were found. The most common gross finding was urolithiasis of urinary bladder($23.8\%$). Other lesions included hemorrhage($5.9\%$), congestion($4.1\%$), hematuria($2.7\%$), pyuria($0.7\%$), hyperplasia($0.5\%$). Urinary calculi collected in this study contained 80 to $90\%$ of calcium oxalate and 10 to $20\%$ of struvite, with or without $20\%$ of cystine and $10\%$ of uric acid. This study on urolithiasis and pathology of urinary bladder of slaughtered Korean cattle revealed subclinical aspects and management problem in Korean beef product.