Desmaizieres L-M, Serraud N, Plainfosse B, Michel A, Tamzali Y
La Clinique du Cheval, 3910 route de Launac, 31330 Grenade.
Equine Vet J. 2009 Apr;41(4):347-52. doi: 10.2746/042516409x427169.
High speed treadmill endoscopy provides a true assessment and diagnosis of the dynamic obstructions of the upper equine respiratory tract (DO-URT). However, treadmills do not always allow reproduction of the exact conditions of dynamic collapse of the URT. The availability of on-board endoscopes, which could be used without a treadmill, would make exercising endoscopy readily available to more equine practices.
To develop and validate an innovative endoscope which could be used for the examination of the URT at exercise in ridden and harnessed sport horses performing in natural conditions.
Authors worked closely with engineers of a company manufacturing veterinary endoscopes. Over a 2-year period several prototypes were tested on more than 20 cooperative horses performing either in trot, gallop, jumping or endurance. The final Dynamic Respiratory Scope (DRS) allows real-time visualisation of the URT and video recordings for post test reviewing and archiving. The DRS was then tested in 2 equine livery yards. Performance horses presented for investigation of abnormal respiratory noises at exercise and/or poor performance were subjected to exercising endoscopy. Endoscopic images of the URT were recorded and video recordings of the URT were reviewed post test.
A total of 68 horses were examined: 39 harnessed Standardbred and 29 mounted horses (16 Thoroughbred and 13 saddle horses). Of these, 44 were diagnosed with a URT abnormality. Good quality videos were obtained even at maximum speed in all cases. The innovative insertion tube provided very stable images compared to those obtained with flexible video endoscopes on treadmills.
This study validates the safety and the reliability of the DRS for imaging the equine URT during natural exercising conditions.
Most common causes of DO-URT can be diagnosed easily during any type of performance without a treadmill and the DRS offers a great potential for further URT clinical research.
高速跑步机内镜检查可为马的上呼吸道动态阻塞(DO - URT)提供真实的评估和诊断。然而,跑步机并不总能重现上呼吸道动态塌陷的确切情况。可在无跑步机情况下使用的车载内镜,将使运动内镜检查在更多马匹诊疗实践中更容易实现。
研发并验证一种创新型内镜,可用于在自然条件下骑行和套马运动的马匹运动时对上呼吸道进行检查。
作者与一家生产兽医内镜的公司的工程师密切合作。在两年时间里,在20多匹配合的马匹上对多个原型进行了测试,这些马匹进行小跑、疾驰、跳跃或耐力运动。最终的动态呼吸内镜(DRS)可对上呼吸道进行实时可视化,并进行视频记录以便测试后回顾和存档。然后在两个马匹寄养场对DRS进行了测试。对因运动时呼吸异常噪音和/或表现不佳而前来检查的运动马匹进行运动内镜检查。记录上呼吸道的内镜图像,并在测试后回顾上呼吸道的视频记录。
共检查了68匹马:39匹套马的标准bred马和29匹骑乘马(16匹纯种马和13匹鞍马)。其中,44匹被诊断患有上呼吸道异常。在所有情况下,即使在最高速度时也能获得高质量的视频。与在跑步机上使用柔性视频内镜获得的图像相比,创新型插入管提供了非常稳定的图像。
本研究验证了DRS在自然运动条件下对马的上呼吸道成像的安全性和可靠性。
在任何类型的运动中,无需跑步机即可轻松诊断DO - URT的最常见原因,并且DRS为进一步的上呼吸道临床研究提供了巨大潜力。