Usporedba ultrazvučnog i rendgenskog nalaza u kuja pri sumnji na bolesti maternice

master's thesis

• Title (english): Comparison of Sonography and Radiography Examination in Bitches with Uterine Disorders
• Author: Lucija Ciglar
• Mentor: Hrvoje Capak (mentor)
• Mentor: Ivan Folnožić (mentor)
• Committee member: Nino Maćešić (predsjednik povjerenstva)
• Committee member: Ivan Folnožić (član povjerenstva)
• Committee member: Hrvoje Capak (član povjerenstva)
• Granter: University of Zagreb; Faculty of Veterinary Medicine; (Department of Radiology, Ultrasound Diagnostic and Physical Therapy); Zagreb
• Defense date and country: 2020-09-25, Croatia
• Scientific / art field, discipline and subdiscipline: BIOMEDICINE AND HEALTHCARE; Veterinary Medicine; Veterinary Clinical Sciences

Abstract

U svakodnevnoj praksi s životinjama kućnim ljubimcima zastupljene su bolesti maternice. Iako etiološki različite, dijagnostički pristup ne varira značajno. Radiografija u slučajevima bolesti maternice daje slabu razlučivost među mogućim fiziološkim i patološkim stanjima. Ponekad i faza spolnog ciklusa utječe na rendgensku sliku maternice. Iz tog razloga preporučuje se koristiti ultrazvučnu pretragu kao slijedeću pretragu za potvrdu rendgenske sumnje, ili samostalno kao relevantnu pretragu visoke specifičnosti. Najčešći, ozbiljni poremećaj zdravlja maternice kuja predstavljaju piometra, piometra batrljka maternice, cistična hiperplazija endometrija (CEH) i neoplazije maternice. Sve njih prilikom pregleda treba razlikovati od fiziološkog stanja maternice ovisno o fazi spolnog ciklusa.
Piometra su radiografski uspješno dijagnosticira u nešto više od polovine kasnije potvrđenih slučajeva, dok se cistična hiperplazija endometrija radiografski razlučuje u zanemarivom postotku slučajeva. U radu je uspješno prikazana ultrasonografija trbušne šupljine kao prva metoda izbora u dijagnostici, u smislu brzog i neinvazivnog načina dolaska do dijagnoze i smanjenja rizika za pacijenticu. Istovremeno se, pri ultrazvučnom pregledu nalaze i moguće komplikacije uzrokovane bolestima maternice.

Abstract (english)

Uterine diseases are frequently present in everyday small animal practice. Although etiologically different, the diagnostic approach does not vary significantly. Radiography in cases of uterine disorders provides poor resolution among possible physiological and pathological conditions. Sometimes the phase of the sexual cycle also affects the X-ray image of the uterus. For this reason, it is strongly recommended to use ultrasound as the next tool to confirm X-ray suspicion, or separately as a relevant high-specificity test. The most common, serious disorders of uterine health in bitches are pyometra, pyometra of the uterine stump, cystic endometrial hyperplasia (CEH) and uterine neoplasia. All of them during the examination should be distinguished from the physiological state of the uterus depending on the stage of the sexual cycle.
Pyometra are radiographically successfully diagnosed in slightly more than half of later confirmed cases, while cystic endometrial hyperplasia is radiographically distinguished in a negligible percentage of cases. This paper successfully presents ultrasonography of the abdominal cavity as the first method of choice in diagnosis, in terms of a quick and non-invasive way to get a diagnosis and reduce the risk for the patient. At the same time, the ultrasound examination reveals possible complications caused by diseases of the uterus.

• Keywords: radiografija; ultrasonografija; piometra; cistična hiperplazija endometrija; kuje
• Keywords (english): radiography; ultrasonography; pyometra; cystic endometrial hyperplasia; bitch
• Language: croatian
• URN:NBN: urn:nbn:hr:178:040591
• Study programme: Title: Veterinary Medicine; Study programme type: university; Study level: integrated undergraduate and graduate; Academic / professional title: doktor/doktorica veterinarske medicine (doktor/doktorica veterinarske medicine)
• Type of resource: Text
• File origin: Born digital
• Access conditions: Open access
• Created on: 2020-12-09 16:16:14