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采用喉前牵引术及软腭热灼术(伴或不伴杓会厌襞切除术)治疗腭裂功能障碍后,国家狩猎型纯种赛马的比赛表现。

Racing performance of National Hunt thoroughbred racehorses after treatment of palatal dysfunction with a laryngeal tie-forward procedure and thermocautery of the soft palate with or without aryepiglottic folds resection.

作者信息

Koskinen Milja J, Virtala Anna-Maija K, McNally Turlough

机构信息

Rood and Riddle Equine Hospital, Lexington, Kentucky.

Section of Microbiology and Epidemiology, Department of Basic Veterinary Sciences, University of Helsinki, Helsinki, Finland.

出版信息

Vet Surg. 2020 Jan;49(1):114-123. doi: 10.1111/vsu.13321. Epub 2019 Sep 10.

Abstract

OBJECTIVE

To assess racing performance of National Hunt thoroughbred (NH) racehorses with a definite diagnosis of palatal dysfunction treated with a laryngeal tie-forward procedure (LTF) and soft palate cautery (SPC) with or without transendoscopic laser excision of the aryepiglottic folds (TLEAF) and to determine correlation between performance measures.

STUDY DESIGN

Retrospective cohort study.

ANIMALS

National Hunt racehorses treated with LTF, SPC ± TLEAF (n = 44) and nonaffected controls (n = 88).

METHODS

Performance was evaluated by using Racing Post ratings (RPR), race earnings (RE), and performance index (PIndex). Affected horses were compared with nonaffected horses. The effect of TLEAF and correlations between measures were analyzed.

RESULTS

Racing Post rating, RE and PIndex improved by 50%, 26%, and 12% in treated, and by 50%, 39%, and 24% in control horses, respectively, when measurements were evaluated for the median of three presurgical and postsurgical races. Lower postsurgical performance was detected when five postsurgical races were compared with two presurgical races (P ≤ .03). The number of postsurgical earnings rated at zero was greater in treated horses than in control horses (P < .05). Race earnings and RPR correlated more strongly (r = 0.634-0.796) than PIndex and other measures (r = 0.378-0.692).

CONCLUSION

Postsurgical performance of NH racehorses with palatal dysfunction after LTF and SPC ± TLEAF was decreased compared with unaffected controls. The negative effect of TLEAF on performance was detected.

CLINICAL SIGNIFICANCE

Although LTF is widely performed in NH racehorses, it may not be the most efficient treatment for palatal dysfunction.

摘要

目的

评估确诊为腭功能障碍的国家障碍赛纯种马(NH)在接受喉前牵术(LTF)和软腭烧灼术(SPC),联合或不联合经内镜杓会厌襞激光切除术(TLEAF)治疗后的比赛表现,并确定各项表现指标之间的相关性。

研究设计

回顾性队列研究。

动物

接受LTF、SPC ± TLEAF治疗的国家障碍赛马(n = 44)和未受影响的对照组(n = 88)。

方法

使用赛马邮报评分(RPR)、比赛收入(RE)和表现指数(PIndex)评估表现。将受影响的马匹与未受影响的马匹进行比较。分析TLEAF的效果以及各项指标之间的相关性。

结果

在评估三个术前和术后比赛的中位数时,治疗组马匹的赛马邮报评分、比赛收入和表现指数分别提高了50%、26%和12%,对照组马匹分别提高了50%、39%和24%。当比较五个术后比赛和两个术前比赛时,术后表现较低(P≤0.03)。治疗组马匹术后收入为零的数量比对照组马匹更多(P < 0.05)。比赛收入与RPR的相关性更强(r = 0.634 - 0.796),而PIndex与其他指标的相关性较弱(r = 0.378 - 0.692)。

结论

与未受影响的对照组相比,LTF和SPC ± TLEAF治疗后,患有腭功能障碍的NH赛马术后表现有所下降。检测到TLEAF对表现有负面影响。

临床意义

尽管LTF在NH赛马中广泛应用,但它可能不是腭功能障碍最有效的治疗方法。

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