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9只犬切口愈合的激光治疗

Laser Therapy for Incision Healing in 9 Dogs.

作者信息

Wardlaw Jennifer L, Gazzola Krista M, Wagoner Amanda, Brinkman Erin, Burt Joey, Butler Ryan, Gunter Julie M, Senter Lucy H

机构信息

Department of Clinical Sciences, Animal Health Center, College of Veterinary Medicine, Mississippi State University, Starkville, MS, United States.

Gateway Veterinary Surgery, St. Louis, MO, United States.

出版信息

Front Vet Sci. 2019 Jan 29;5:349. doi: 10.3389/fvets.2018.00349. eCollection 2018.

Abstract

Laser therapy is becoming common place in veterinary medicine with little evidence proving efficacy or dosages. This study evaluated surgical wound healing in canines. Twelve Dachshunds underwent thoraco-lumbar hemilaminectomies for intervertebral disc disease (IVDD). Digital photographs were taken of their incisions within 24 h of surgery and 1, 3, 5, 7, and 21 days postoperatively. The first three dogs were used to create a standardized scar scale to score the other dogs' incision healing. The remaining 9 dogs were randomly assigned to either receive 8 J/cm laser therapy once a day for 7 days or the non-laser treated control group. Incision healing was scored based on the scar scale from 0 to 5, with zero being a fresh incision and five being completely healed with scar contraction and hair growth. All scar scores significantly improved with increasing time from surgery (<0.001). Good agreement was achieved for inter-rater reliability ( = 0.9). Laser therapy increased the scar scale score, showed improved cosmetic healing, by day seven and continued to be significantly increased on day 21 compared to control dogs ( < 0.001). Daily application of laser therapy at 8J/cm2 hastened wound healing in Dachshunds that received thoracolumbar hemilaminectomies for IVDD. It also improved the cosmetic appearance.

摘要

激光疗法在兽医学中越来越普遍,但几乎没有证据证明其疗效和剂量。本研究评估了犬类手术伤口的愈合情况。12只腊肠犬因椎间盘疾病(IVDD)接受了胸腰段半椎板切除术。在手术后24小时内以及术后1、3、5、7和21天拍摄其切口的数码照片。前三只狗用于创建标准化的瘢痕量表,以对其他狗的切口愈合情况进行评分。其余9只狗被随机分配,要么每天接受一次8 J/cm的激光治疗,持续7天,要么进入非激光治疗的对照组。根据瘢痕量表对切口愈合情况进行评分,范围为0至5分,0分为新鲜切口,5分为瘢痕收缩和毛发生长完全愈合。随着手术时间的增加,所有瘢痕评分均显著改善(<0.001)。评分者间信度良好(=0.9)。与对照犬相比,激光治疗在第7天时提高了瘢痕量表评分,显示出更好的美容愈合效果,并且在第21天时仍显著提高(<0.001)。每天以8J/cm2的剂量进行激光治疗可加速接受胸腰段半椎板切除术治疗IVDD的腊肠犬的伤口愈合。它还改善了外观。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9d47/6362418/47ce3730ab5b/fvets-05-00349-g0001.jpg

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