摘 要
猫下泌尿道综合征是猫科动物常见且复杂的疾病，其病理生理机制涉及多种因素。本研究旨在探讨FLUTD的病理生理特征并评估非手术治疗方法的有效性。通过对120只确诊为FLUTD的猫进行为期6个月的跟踪观察，采用尿液分析、影像学检查及血液生化检测等手段，结合临床症状评分系统，全面评估病情变化。研究发现，FLUTD主要与尿路结石、感染、解剖结构异常等因素相关，其中尿路梗阻是最常见的并发症。创新性地引入了综合非手术治疗方案，包括饮食调控、药物治疗和环境管理，结果显示该方案能有效缓解症状，降低复发率。特别是通过调整饮食结构，显著减少了草酸钙和磷酸铵镁结石的形成风险。此外，心理干预措施有助于减轻猫的心理压力，改善排尿行为。研究结论表明，非手术治疗在FLUTD管理中具有重要价值，能够提高患病猫的生活质量，减少不必要的手术干预，为临床提供了新的治疗思路和方法。
Cat lower urinary tract syndrome is a common and complex disease in felines, and its pathophysiology involves multiple factors. This study aims to investigate the pathophysiological features of FLUTD and to evaluate the effectiveness of non-surgical treatments. The 120 cats diagnosed with FLUTD were followed up and observed for 6 months, using urine analysis, imaging examination and blood biochemical tests, combined with the clinical symptom scoring system. Studies have found that FLUTD was mainly associated with urinary calculi, infection, and anatomical abnormalities, with urinary tract obstruction being the most common complication. The innovative introduction of comprehensive non-surgical treatment options, including dietary regulation, drug therapy, and environmental management, is effective in alleviating symptoms and reducing recurrence rates. In particular, by adjusting the diet, the risk of calcium oxalate and magnesium ammonium phosphate stones was significantly reduced. Moreover, psychological interventions can help to reduce psychological stress in cats and improve voiding behavior. The conclusion shows that non-surgical treatment has important value in FLUTD management, which can improve the quality of life of sick cats, reduce unnecessary surgical intervention, and provide new treatment ideas and methods for clinical practice.
KEY WORDS：Ccat lower urinary tract syndrome; non-surgical treatment; urinary calculi
目 录
摘 要 I
ABSTRACT II
第1章 绪论 1
1.1 研究背景及意义 1
1.2 国内外研究现状 1
第2章 猫下泌尿道综合征的病理生理机制 3
2.1 下泌尿道解剖结构特点 3
2.2 病理变化及发病机制 3
2.3 疾病进展与并发症 4
第3章 猫下泌尿道综合征的临床诊断 5
3.1 症状识别与初步评估 5
3.2 实验室检查与影像学诊断 5
3.3 差异诊断与病情分期 6
第4章 猫下泌尿道综合征的非手术治疗方案 7
4.1 保守治疗原则与方法 7
4.2 药物治疗的应用与选择 7
4.3 饮食管理与环境调整 8
第5章 结论 9
参考文献 10
致 谢 11
猫下泌尿道综合征是猫科动物常见且复杂的疾病，其病理生理机制涉及多种因素。本研究旨在探讨FLUTD的病理生理特征并评估非手术治疗方法的有效性。通过对120只确诊为FLUTD的猫进行为期6个月的跟踪观察，采用尿液分析、影像学检查及血液生化检测等手段，结合临床症状评分系统，全面评估病情变化。研究发现，FLUTD主要与尿路结石、感染、解剖结构异常等因素相关，其中尿路梗阻是最常见的并发症。创新性地引入了综合非手术治疗方案，包括饮食调控、药物治疗和环境管理，结果显示该方案能有效缓解症状，降低复发率。特别是通过调整饮食结构，显著减少了草酸钙和磷酸铵镁结石的形成风险。此外，心理干预措施有助于减轻猫的心理压力，改善排尿行为。研究结论表明，非手术治疗在FLUTD管理中具有重要价值，能够提高患病猫的生活质量，减少不必要的手术干预，为临床提供了新的治疗思路和方法。
关键词：猫下泌尿道综合征；非手术治疗；尿路结石
Cat lower urinary tract syndrome is a common and complex disease in felines, and its pathophysiology involves multiple factors. This study aims to investigate the pathophysiological features of FLUTD and to evaluate the effectiveness of non-surgical treatments. The 120 cats diagnosed with FLUTD were followed up and observed for 6 months, using urine analysis, imaging examination and blood biochemical tests, combined with the clinical symptom scoring system. Studies have found that FLUTD was mainly associated with urinary calculi, infection, and anatomical abnormalities, with urinary tract obstruction being the most common complication. The innovative introduction of comprehensive non-surgical treatment options, including dietary regulation, drug therapy, and environmental management, is effective in alleviating symptoms and reducing recurrence rates. In particular, by adjusting the diet, the risk of calcium oxalate and magnesium ammonium phosphate stones was significantly reduced. Moreover, psychological interventions can help to reduce psychological stress in cats and improve voiding behavior. The conclusion shows that non-surgical treatment has important value in FLUTD management, which can improve the quality of life of sick cats, reduce unnecessary surgical intervention, and provide new treatment ideas and methods for clinical practice.
KEY WORDS：Ccat lower urinary tract syndrome; non-surgical treatment; urinary calculi
目 录
摘 要 I
ABSTRACT II
第1章 绪论 1
1.1 研究背景及意义 1
1.2 国内外研究现状 1
第2章 猫下泌尿道综合征的病理生理机制 3
2.1 下泌尿道解剖结构特点 3
2.2 病理变化及发病机制 3
2.3 疾病进展与并发症 4
第3章 猫下泌尿道综合征的临床诊断 5
3.1 症状识别与初步评估 5
3.2 实验室检查与影像学诊断 5
3.3 差异诊断与病情分期 6
第4章 猫下泌尿道综合征的非手术治疗方案 7
4.1 保守治疗原则与方法 7
4.2 药物治疗的应用与选择 7
4.3 饮食管理与环境调整 8
第5章 结论 9
参考文献 10
致 谢 11
