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马关节滑膜囊肿:16例

Equine articular synovial cysts: 16 cases.

作者信息

Lacourt Mathieu, MacDonald Melinda, Rossier Yves, Laverty Sheila

机构信息

Département de Sciences Cliniques, Faculté de Médecine Vétérinaire, Université de Montréal, Saint-Hyacinthe, Canada.

出版信息

Vet Surg. 2013 Jan;42(1):99-106. doi: 10.1111/j.1532-950X.2012.01074.x. Epub 2012 Dec 5.

Abstract

OBJECTIVE

To report the clinical findings, diagnosis, treatment and outcome of equine patients with articular synovial cysts.

STUDY DESIGN

Retrospective case series.

ANIMALS

Horses (n = 16) with articular synovial cysts.

METHODS

Horses diagnosed with articular synovial cysts (1988-2009) at 2 veterinary teaching hospitals were studied. Signalment, history, clinical signs, diagnostic methods and treatment were retrieved and telephone follow-up was obtained.

RESULTS

Sixteen horses with articular synovial cysts were identified. Lameness was the reason for referral in most (n = 9) horses. Diagnosis was based on a combination of palpation and imaging studies, including radiography, ultrasonography and/or arthrography. Excision of the cyst was performed in 8 horses. Outcome was available for 4 surgically and 2 conservatively treated horses. Lameness resolved in 3 horses treated surgically and the 4th died for unrelated reasons. The 2 conservatively treated horses performed satisfactorily for the rest of their career.

CONCLUSIONS

Equine articular synovial cysts are rare and can be associated with lameness. The cysts had a synovial lining in all horses where it was assessed. Surgical excision may be successful in resolving the lameness and allowing selected horses to return to work.

摘要

目的

报告马关节滑膜囊肿患马的临床症状、诊断、治疗及预后情况。

研究设计

回顾性病例系列研究。

动物

患有关节滑膜囊肿的马(n = 16)。

方法

对两所兽医教学医院在1988年至2009年间诊断为关节滑膜囊肿的马进行研究。收集马匹的特征、病史、临床症状、诊断方法及治疗情况,并通过电话进行随访。

结果

共确定16例患有关节滑膜囊肿的马。大多数马(n = 9)因跛行前来就诊。诊断基于触诊与影像学检查相结合,包括X线摄影、超声检查和/或关节造影。8匹马接受了囊肿切除术。有4匹接受手术治疗和2匹接受保守治疗的马有预后情况。3匹接受手术治疗的马跛行症状消失,第4匹因无关原因死亡。2匹接受保守治疗的马在其剩余职业生涯中表现良好。

结论

马关节滑膜囊肿较为罕见,可能与跛行有关。在所有进行评估的马中,囊肿均有滑膜衬里。手术切除可能成功解决跛行问题,使部分马匹能够恢复工作。

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