Bladder and Bowel Management in Dogs With Spinal Cord Injury.
Bladder and Bowel Management in Dogs With Spinal Cord Injury.
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DOI：
10.3389/fvets.2020.583342
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发表时间：
2020
影响因子：
3.2
通讯作者：
Canine Spinal Cord Injury Consortium (CANSORT-SCI)
中科院分区：
文献类型：
--
作者：
Granger N;Olby NJ;Nout-Lomas YS;Canine Spinal Cord Injury Consortium (CANSORT-SCI)
伴犬的脊髓损伤可导致尿和粪便失禁或滞留，具体取决于损伤的严重程度和病变沿犬神经系统的位置。自主神经损伤引起的膀胱和胃肠功能障碍很难辨认和解释，也很容易被忽视。然而，保持对排尿和排便障碍对动物状况、福利和主人的影响的高度认识是至关重要的。这些残疾的管理更加具有挑战性，因为自主神经系统生理学是一个复杂的话题。在这篇综述中，我们建议简单地提醒读者狗的排尿和排便的生理学。然后，我们介绍了与骶骨病变(即L7-S3脊髓节段和神经)和骶上病变(即L7脊髓节段到L7脊髓节段)相关的膀胱和胃肠道临床体征，主要是在椎间盘突出的情况下。我们总结了已知的脊髓损伤后狗排尿和排便控制的自然恢复情况。特别是，我们回顾了损伤后尿路感染的发生率。最后，我们探讨了描述脊髓损伤急性期和慢性期排尿和排便功能障碍处理的过去和最近的文献。这包括医疗疗法，但重要的是一些外科手术选择，其中一些几十年来一直为人所知，如骶神经刺激，这可能会引发对伴侣犬脊髓损伤领域的一些兴趣。
Spinal cord injury in companion dogs can lead to urinary and fecal incontinence or retention, depending on the severity, and localization of the lesion along the canine nervous system. The bladder and gastrointestinal dysfunction caused by lesions of the autonomic system can be difficult to recognize, interpret and are easily overlooked. Nevertheless, it is crucial to maintain a high degree of awareness of the impact of micturition and defecation disturbances on the animal's condition, welfare and on the owner. The management of these disabilities is all the more challenging that the autonomic nervous system physiology is a complex topic. In this review, we propose to briefly remind the reader the physiology of micturition and defecation in dogs. We then present the bladder and gastrointestinal clinical signs associated with sacral lesions (i.e., the L7-S3 spinal cord segments and nerves) and supra-sacral lesions (i.e., cranial to the L7 spinal cord segment), largely in the context of intervertebral disc herniation. We summarize what is known about the natural recovery of urinary and fecal continence in dogs after spinal cord injury. In particular we review the incidence of urinary tract infection after injury. We finally explore the past and recent literature describing management of urinary and fecal dysfunction in the acute and chronic phase of spinal cord injury. This comprises medical therapies but importantly a number of surgical options, some known for decades such as sacral nerve stimulation, that might spark some interest in the field of spinal cord injury in companion dogs.
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影响因子：
2.6
作者：
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通讯作者：
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发表时间：
2006-01-15
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作者：
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通讯作者：
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作者：
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通讯作者：
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