Suarez-Fuentes D G, Caston S S, Tatarniuk D M, Kersh K D, Ferrero N R
Department of Veterinary Clinical Sciences, College of Veterinary Medicine, Iowa State University, Ames, Iowa, USA.
Equine Vet J. 2018 Mar;50(2):179-185. doi: 10.1111/evj.12733. Epub 2017 Sep 4.
Contaminated or septic navicular bursitis has been reported to have a guarded prognosis after surgical treatment with navicular bursotomy only. In our experience, the use of navicular bursotomy for the treatment of this disease in combination with systemic and local delivery of antimicrobials can provide a good prognosis, even in horses with chronic disease.
To report the outcome of horses undergoing navicular bursotomy for the treatment of contaminated or septic navicular bursitis.
Descriptive case series.
Navicular bursotomy was performed in combination with systemic and local antimicrobial therapies. Medical records (2002-2016) were reviewed. Follow-up information was obtained from owners or referring veterinarians. Horse outcome was divided into two groups. A successful outcome (Group 1) was assigned to horses that were able to return to the same level of use or performance as before contamination/infection. A satisfactory outcome (Group 2) was assigned to horses that survived but did not return to their previous function or level of performance.
All horses survived to hospital discharge. Follow-up was obtained from 4 months to 12.75 years after surgery. Sixteen horses were able to return to their previous level of use (84.2%) and three horses were able to return to a lower level of performance or were pasture sound (15.8%). All 19 owners were satisfied with the outcome.
Small sample size and retrospective nature of the study. Follow-up was limited to telephone contact with owners and referring veterinarians, and there is potential for recall bias.
Navicular bursotomy in combination with systemic and local antimicrobial therapies is an effective treatment for contaminated or septic navicular bursitis. The success rate in this population makes navicular bursotomy worthy of consideration in cases of contaminated or septic navicular bursitis, especially with chronicity and/or where equipment or expertise for bursoscopy is unavailable.
据报道，仅通过舟状黏液囊炎切开术进行手术治疗后，污染性或化脓性舟状黏液囊炎的预后不佳。根据我们的经验，即使是患有慢性疾病的马匹，采用舟状黏液囊炎切开术结合全身和局部使用抗菌药物治疗这种疾病，也能取得良好的预后。
报告接受舟状黏液囊炎切开术治疗污染性或化脓性舟状黏液囊炎的马匹的治疗结果。
描述性病例系列。
进行舟状黏液囊炎切开术并结合全身和局部抗菌治疗。回顾了2002年至2016年的病历。从马主或转诊兽医处获取随访信息。马匹的治疗结果分为两组。成功结果（第1组）适用于能够恢复到污染/感染前相同使用水平或性能水平的马匹。满意结果（第2组）适用于存活但未恢复到先前功能或性能水平的马匹。
所有马匹均存活至出院。术后随访时间为4个月至12.75年。16匹马能够恢复到先前的使用水平（84.2%），3匹马能够恢复到较低的性能水平或可在牧场正常活动（15.8%）。所有19位马主对治疗结果均满意。
研究样本量小且具有回顾性。随访仅限于与马主和转诊兽医的电话联系，存在回忆偏倚的可能性。
舟状黏液囊炎切开术结合全身和局部抗菌治疗是治疗污染性或化脓性舟状黏液囊炎的有效方法。该人群的成功率使舟状黏液囊炎切开术在污染性或化脓性舟状黏液囊炎病例中值得考虑，特别是在疾病具有慢性特征和/或缺乏关节镜检查设备或专业技术的情况下。
