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马的远端肢体伤口:德国南部非滑膜性与滑膜性损伤的经济影响及短期预后

Equine Distal Limb Wounds: Economic Impact and Short-Term Prognosis of Non-Synovial Versus Synovial Lesions in Southern Germany.

作者信息

Albanese Valeria, Straticò Paola, Fischer Holger, Petrizzi Lucio

机构信息

Tierärztliches Kompetenzzentrum für Pferde Großwallstadt Altano GmbH, Niedernberger Str. 9, 63868 Großwallstadt, Germany.

Department of Veterinary Medicine, Località Piano D'Accio, 64100 Teramo, Italy.

出版信息

Vet Sci. 2025 Mar 1;12(3):205. doi: 10.3390/vetsci12030205.

DOI:10.3390/vetsci12030205
PMID:40266953
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11946326/
Abstract

Injuries to the distal limb are common in horses. The clinical aspect of the lesions is variable based on the structures that are involved. Synovial structures as well as tendons and/or ligaments may be involved in such injuries, affecting treatment modalities and costs, and prognosis. This retrospective study compares wounds involving synovial structures to wounds without such involvement in terms of treatment duration and costs, and prognosis. Synovial wounds were much more expensive to treat and carried a lower prognosis. Involvement of tendons and/or ligaments in the wounds resulted in more expensive and prolonged treatment courses compared to cases without such involvement, even without synovial contamination. The prognosis for discharge was good overall for both groups.

摘要

马的远端肢体损伤很常见。损伤的临床症状因受累结构而异。滑膜结构以及肌腱和/或韧带可能参与此类损伤,这会影响治疗方式、成本和预后。这项回顾性研究比较了涉及滑膜结构的伤口和未涉及滑膜结构的伤口在治疗持续时间、成本和预后方面的情况。滑膜伤口的治疗成本要高得多,预后也较差。与未涉及肌腱和/或韧带的病例相比,伤口中肌腱和/或韧带的受累导致治疗过程更昂贵且持续时间更长,即使没有滑膜污染。两组的出院预后总体良好。

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本文引用的文献

1
Multicenter study investigating long-term survival after synovial lavage of contaminated and septic synovial structures in horses presented to 10 UK referral hospitals.一项多中心研究,调查了被送至英国10家转诊医院的马匹受污染和感染的滑膜结构进行滑膜灌洗后的长期存活率。
Vet Surg. 2024 Aug;53(6):1083-1092. doi: 10.1111/vsu.14107. Epub 2024 Jun 11.
2
Diagnostic accuracy of plain radiography to identify synovial penetration in horses with traumatic limb wounds.X线平片对识别马创伤性肢体伤口滑膜穿透的诊断准确性。
Equine Vet J. 2025 Jan;57(1):62-68. doi: 10.1111/evj.14050. Epub 2024 Jan 10.
3
Tissue predictability of elastography is low in collagenase induced deep digital flexor tendinopathy.胶原酶诱导的深屈肌腱腱病的弹性成像组织预测性低。
Vet Radiol Ultrasound. 2022 Jan;63(1):111-123. doi: 10.1111/vru.13026. Epub 2021 Sep 28.
4
Bacterial Nosocomial Infections: Multidrug Resistance as a Trigger for the Development of Novel Antimicrobials.细菌性医院感染:多重耐药性作为新型抗菌药物研发的触发因素
Antibiotics (Basel). 2021 Aug 4;10(8):942. doi: 10.3390/antibiotics10080942.
5
BEVA primary care clinical guidelines: Wound management in the horse.BEVA 初级保健临床指南:马的伤口管理。
Equine Vet J. 2021 Jan;53(1):18-29. doi: 10.1111/evj.13289. Epub 2020 Jul 17.
6
Equine Wounds over Synovial Structures.马滑膜结构上的伤口。
Vet Clin North Am Equine Pract. 2018 Dec;34(3):575-590. doi: 10.1016/j.cveq.2018.07.002.
7
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Equine Vet J. 2019 Jan;51(1):20-23. doi: 10.1111/evj.12985. Epub 2018 Aug 6.
8
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Vet Surg. 2017 Oct;46(7):1008-1016. doi: 10.1111/vsu.12696. Epub 2017 Aug 3.
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Vet Surg. 2016 Oct;45(7):859-867. doi: 10.1111/vsu.12531. Epub 2016 Sep 1.
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Ultrasound Med Biol. 2015 Jan;41(1):15-25. doi: 10.1016/j.ultrasmedbio.2014.08.019. Epub 2014 Nov 14.