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局部注射马源液体羊膜同种异体移植物不会减少实验诱导的马肢远端伤口的愈合时间。

Healing time of experimentally induced distal limb wounds in horses is not reduced by local injection of equine-origin liquid amnion allograft.

机构信息

Department of Veterinary Clinical Sciences, College of Veterinary Medicine, Oklahoma State University, Stillwater, OK.

Department of Statistics, College of Arts and Sciences, Oklahoma State University, Stillwater, OK.

出版信息

Am J Vet Res. 2022 Jul 13;83(8):ajvr.21.10.0169. doi: 10.2460/ajvr.21.10.0169.

Abstract

OBJECTIVE

To assess the efficacy of an equine-origin liquid amnion allograft (ELAA) derived from both amniotic fluid and amniotic membrane on the healing time of experimentally induced distal limb wounds in horses.

ANIMALS

8 adult horses.

PROCEDURES

On day 0, horses were anesthetized and a 2.5 X 2.5-cm, full-thickness skin wound was created on the dorsal aspect of each metacarpus and bandaged. On day 9, wound margins were injected with ELAA (treatment) or 0.9% NaCl (control). Bandages were changed at specific intervals through day 91 and, on each occasion, wounds were photographed to allow calculation of wound area. Exuberant granulation tissue was resected, if present. Wounds were deemed healed when completely epithelialized. Mean wound area was compared between groups throughout the study period.

RESULTS

Only 1 wound (control) remained unhealed at day 91. No difference was found between the treatment and control groups in either wound area over time (P = 1.0) or time for wounds to reduce in size by 95% (P = .2) Exuberant granulation tissue required resection twice (1 control wound and 1 treatment wound).

CLINICAL RELEVANCE

In this model, a single treatment with ELAA administered locally by SC injection did not accelerate distal limb wound healing in horses. However, it is possible that naturally occurring, chronic, or nonhealing wounds would respond differently.

摘要

目的

评估一种源自羊水和羊膜的马源液体羊膜同种异体移植物(ELAA)对实验诱导的马四肢远端伤口愈合时间的疗效。

动物

8 匹成年马。

程序

在第 0 天,马被麻醉,在每个掌骨的背侧创建一个 2.5 X 2.5 厘米的全层皮肤伤口,并包扎。在第 9 天,用 ELAA(治疗)或 0.9%NaCl(对照)注射伤口边缘。在第 91 天之前的特定时间间隔更换绷带,每次都拍摄伤口照片,以计算伤口面积。如果存在,切除过多的肉芽组织。当伤口完全上皮化时,认为伤口已愈合。在整个研究期间,比较两组之间的平均伤口面积。

结果

只有 1 个伤口(对照)在第 91 天仍未愈合。治疗组和对照组之间,无论是随时间推移的伤口面积(P = 1.0)还是伤口面积减少 95%所需的时间(P =.2)均无差异。过多的肉芽组织需要切除两次(1 个对照伤口和 1 个治疗伤口)。

临床相关性

在该模型中,局部通过 SC 注射单次给予 ELAA 治疗并未加速马四肢远端伤口的愈合。然而,自然发生的、慢性的或未愈合的伤口可能会有不同的反应。

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