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关节腔内注射二甲基亚砜对正常马关节组织影响的评估。

Evaluation of the effects of intra-articular injection of dimethylsulfoxide on normal equine articular tissues.

作者信息

Welch R D, DeBowes R M, Liepold H W

机构信息

Department of Large Animal Medicine and Surgery, College of Veterinary Medicine, Texas A&M University, College Station 77843-4475.

出版信息

Am J Vet Res. 1989 Jul;50(7):1180-2.

PMID:2476053
Abstract

To evaluate the effects of intra-articular injection of dimethylsulfoxide (DMSO) on normal equine articular structures, 7 adult horses with clinically normal carpi were allotted to 2 treatment groups (group A, n = 4; group B, n = 3). In each horse after collection of synovial fluid samples, the right antebrachial carpal and middle carpal joints were aseptically injected with 2 ml of a 40% solution of 90% medical grade DMSO in lactated Ringer solution, and the corresponding joints of the left forelimb (controls) were injected with 2 ml of lactated Ringer solution. In group-A horses, 2 ml of synovial fluid was obtained prior to injections of 40% DMSO at 24 hours and 72 hours, for a total of 3 injections. At necropsy, synovial fluid, synovial membrane, and articular cartilage specimens were obtained. Group-B horses were injected with 40% DMSO in the same sequence; however, the series was repeated following a 1-week interval. Clinical evaluation of these horses revealed no evidence of carpal inflammation associated with any injection in any group. Synovial fluid analysis of DMSO-injected and control joints revealed insignificant differences in leukocyte counts and total protein content. There was no evidence of cartilage degradation on gross, histologic, or histochemical evaluation of any of the joints. Intercellular matrix staining of the articular cartilage failed to reveal any observable difference in glycosaminoglycan content between injection with DMSO or lactated Ringer solution.

摘要

为评估关节腔内注射二甲基亚砜(DMSO)对正常马关节结构的影响,将7匹临床腕关节正常的成年马分配到2个治疗组(A组,n = 4;B组,n = 3)。在每匹马采集滑液样本后,将2 ml含90%医用级DMSO的40%溶液注入右前臂腕关节和中腕关节,左前肢相应关节(对照组)注入2 ml乳酸林格液。在A组马中,于注射40% DMSO前、24小时和72小时采集2 ml滑液,共注射3次。尸检时,获取滑液、滑膜和关节软骨标本。B组马按相同顺序注射40% DMSO;然而,在间隔1周后重复该系列操作。对这些马的临床评估显示,任何组的任何注射均未出现与腕关节炎症相关的证据。对注射DMSO和对照关节的滑液分析显示,白细胞计数和总蛋白含量无显著差异。对任何关节进行大体、组织学或组织化学评估均未发现软骨降解的证据。关节软骨的细胞间基质染色未显示注射DMSO或乳酸林格液后糖胺聚糖含量有任何可观察到的差异。

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