Madison J B, Sommer M, Spencer P A
Department of Clinical Studies, School of Veterinary Medicine, University of Pennsylvania, Kennett Square 19348.
J Am Vet Med Assoc. 1991 May 1;198(9):1655-61.
A retrospective evaluation of 64 cases of suspected infectious arthritis in horses was undertaken to determine the relations among histopathologic findings in synovial membrane specimens, cytologic findings in synovial fluid samples, and bacterial culture results. Positive cultures were obtained from 55% of the joints, and 18 different bacterial organisms were cultured. Culturing of synovial fluid yielded bacterial growth more often than did culturing of synovial membrane. Histologic evaluation (H&E and Gram stain) of synovial membrane specimens provided little information to help distinguish infected from culture-negative joints. We do not advocate the routine use of closed synovial biopsy in suspected cases of equine septic arthritis.
对64例疑似马感染性关节炎的病例进行了回顾性评估，以确定滑膜标本的组织病理学发现、滑液样本的细胞学发现与细菌培养结果之间的关系。55%的关节获得了阳性培养结果，共培养出18种不同的细菌。滑液培养比滑膜培养更常产生细菌生长。滑膜标本的组织学评估（苏木精-伊红染色和革兰氏染色）几乎无法提供有助于区分感染关节与培养阴性关节的信息。我们不主张在疑似马化脓性关节炎病例中常规使用闭合性滑膜活检。
