Wereszka Marta M, White Nathaniel A, Furr Martin O
Marion duPont Scott Equine Medical Center, Virginia-Maryland Regional College of Veterinary Medicine, Virginia Tech, Leesburg, VA 20177, USA.
J Am Vet Med Assoc. 2007 Apr 15;230(8):1195-200. doi: 10.2460/javma.230.8.1195.
To identify factors associated with outcome (ie, survival and return to function) following treatment of horses with septic tenosynovitis.
Retrospective case series.
51 horses with septic tenosynovitis.
Information was obtained from medical records and through follow-up conversations with owners. Factors analyzed for an association with outcome included affected limb, etiology, duration of clinical signs prior to examination, presence of complications, primary treatment, secondary treatments, number of surgical procedures, and hospitalization time.
Concurrent complications were identified in 41 (80%) horses. The primary treatment consisted of through-and-through lavage in 26 (51%) horses, tenoscopy in 20 (39%), and tenosynoviotomy combined with lavage in 5 (10%). Forty (78%) horses were discharged, and 37 (73%) survived at least 1 year after surgery; 21 of the 37 (57%) returned to their previous or a higher level of performance. Percentages of horses that survived 1 year after discharge and percentages that returned to their intended use did not vary significantly among treatments. Horses with tendon rupture or sepsis of an adjacent joint were significantly less likely to survive. Horses with tendon injury or pannus were significantly less likely to return to their intended use.
Results suggested that various factors were associated with outcome in horses with septic tenosynovitis. However, surgical technique was not found to be associated with survival rate or rate of return to intended use.
确定患化脓性腱鞘炎马匹治疗后的预后相关因素（即存活和功能恢复情况）。
回顾性病例系列研究。
51匹患化脓性腱鞘炎的马。
从病历中获取信息，并通过与马主的随访对话收集资料。分析与预后相关的因素包括患侧肢体、病因、检查前临床症状持续时间、并发症的存在情况、主要治疗方法、辅助治疗方法、手术次数以及住院时间。
41匹（80%）马存在并发并发症。主要治疗方法包括26匹（51%）马采用贯通冲洗，20匹（39%）马采用关节镜检查，5匹（10%）马采用腱鞘切开术联合冲洗。40匹（78%）马出院，37匹（73%）马术后至少存活1年；37匹中的21匹（57%）恢复到术前或更高的运动水平。不同治疗方法在出院后存活1年的马匹百分比以及恢复到预期使用状态的马匹百分比方面差异不显著。肌腱断裂或相邻关节发生脓毒症马匹的存活可能性显著降低。肌腱损伤或血管翳马匹恢复到预期使用状态的可能性显著降低。
结果表明，多种因素与患化脓性腱鞘炎马匹的预后相关。然而，未发现手术技术与存活率或恢复到预期使用状态的比例相关。
