Cusack Lara M, Mayer Joerg, Cutler Daniel C, Rissi Daniel R, Divers Stephen J
Am J Vet Res. 2018 Apr;79(4):465-473. doi: 10.2460/ajvr.79.4.465.
OBJECTIVE To assess effects of photobiomodulation, silver sulfadiazine, and a topical antimicrobial product for the treatment of experimentally induced full-thickness skin wounds in green iguanas (Iguana iguana). ANIMALS 16 healthy subadult green iguanas. PROCEDURES Iguanas were anesthetized, and three 5-mm cutaneous biopsy specimens were obtained from each iguana (day 0). Iguanas were randomly assigned to 2 treatment groups, each of which had a control treatment. Wounds in the topical treatment group received silver sulfadiazine, a topical antimicrobial product, or no treatment. Wounds in the laser treatment group received treatment with a class 4 laser at 5 or 10 J/cm or no treatment. Wound measurements were obtained daily for 14 days. Iguanas were euthanized, and treatment sites were evaluated microscopically to detect ulceration, bacterial contamination, reepithelialization, necrosis, inflammation, fibrosis, and collagen maturity. RESULTS On day 14, wounds treated with a laser at 10 J/cm were significantly smaller than those treated with silver sulfadiazine, but there were no other significant differences among treatments. Histologically, there were no significant differences in ulceration, bacterial infection, reepithelialization, necrosis, inflammation, fibrosis, and collagen maturity among treatments. CONCLUSIONS AND CLINICAL RELEVANCE Photobiomodulation at 10 J/cm appeared to be a safe treatment that was tolerated well by green iguanas, but it did not result in substantial improvement in histologic evidence of wound healing, compared with results for other treatments or no treatment.
目的 评估光生物调节、磺胺嘧啶银和一种局部抗菌产品对治疗绿鬣蜥(Iguana iguana)实验性诱导的全层皮肤伤口的效果。
动物 16只健康的亚成年绿鬣蜥。
方法 对绿鬣蜥进行麻醉,从每只绿鬣蜥身上获取3个5毫米的皮肤活检标本(第0天)。将绿鬣蜥随机分为2个治疗组,每组都有一个对照治疗。局部治疗组的伤口接受磺胺嘧啶银、一种局部抗菌产品或不治疗。激光治疗组的伤口接受4类激光以5或10 J/cm的剂量治疗或不治疗。连续14天每天进行伤口测量。对绿鬣蜥实施安乐死,并对治疗部位进行显微镜评估,以检测溃疡、细菌污染、再上皮化、坏死、炎症、纤维化和胶原成熟度。
结果 在第14天,用10 J/cm激光治疗的伤口明显小于用磺胺嘧啶银治疗的伤口,但各治疗组之间没有其他显著差异。组织学上,各治疗组在溃疡、细菌感染、再上皮化、坏死、炎症、纤维化和胶原成熟度方面没有显著差异。
结论及临床意义 10 J/cm的光生物调节似乎是一种安全的治疗方法,绿鬣蜥耐受性良好,但与其他治疗或不治疗的结果相比,它并没有使伤口愈合的组织学证据有实质性改善。