Hawkins J F, Fessler J F
Department of Veterinary Clinical Sciences, School of Veterinary Medicine, Purdue University, West Lafayette, IN 47907-1248, USA.
J Am Vet Med Assoc. 2000 Jul 1;217(1):74-8. doi: 10.2460/javma.2000.217.74.
To evaluate efficacy of debridement for treatment of supraspinous bursitis in horses and to evaluate the outcome.
Retrospective study.
10 horses with clinical signs of supraspinous bursitis.
Medical records were reviewed for signalment, anamnesis, results of physical and radiographic examination, microbial culture results of supraspinous bursa tissue or exudate, Brucella abortus titers, type of antimicrobial and anti-inflammatory therapies, surgical technique, complications of the surgical procedure, and findings on histologic examination of excised nuchal ligament and bursal tissue. Telephone follow-up with owners, trainers, or referring veterinarians was performed.
The described surgical technique was effective in resolving drainage from the supraspinous bursal region in 5 of 6 horses available for long-term follow-up. The most common complication following surgery was the development of purulent wound drainage. Two horses required multiple surgeries to resolve clinical signs of supraspinous bursitis. The most common organism isolated from the supraspinous bursa was beta-hemolytic Streptococcus spp. All horses were discharged from the hospital and long-term follow-up was available for 6 horses. All 6 horses could be used for their intended use.
Debridement in standing horses is an effective method of resolving clinical signs of supraspinous bursitis.
评估清创术治疗马棘上黏液囊炎的疗效并评估治疗结果。
回顾性研究。
10匹有棘上黏液囊炎临床症状的马。
查阅病历，记录信号、既往史、体格检查和放射检查结果、棘上黏液囊组织或渗出液的微生物培养结果、布鲁氏菌流产凝集效价、抗菌和抗炎治疗类型、手术技术、手术并发症以及切除的项韧带和黏液囊组织的组织学检查结果。通过电话随访马主、驯马师或转诊兽医。
在6匹可进行长期随访的马中，所描述的手术技术有效地解决了5匹马棘上黏液囊区域的引流问题。术后最常见的并发症是脓性伤口引流。2匹马需要多次手术才能解决棘上黏液囊炎的临床症状。从棘上黏液囊中分离出的最常见病原体是β溶血性链球菌属。所有马均出院，6匹马可进行长期随访。所有6匹马都能用于其预期用途。
站立位马匹的清创术是解决棘上黏液囊炎临床症状的有效方法。
