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牛骨软骨病的临床与影像学表现、治疗及预后:29例病例(1986 - 1996年)

Clinical and radiographic findings, treatment, and outcome in cattle with osteochondrosis: 29 cases (1986-1996).

作者信息

Trostle S S, Nicoll R G, Forrest L J, Markel M D

机构信息

Department of Surgical Sciences, College of Veterinary Medicine, University of Wisconsin-Madison 53706-1106, USA.

出版信息

J Am Vet Med Assoc. 1997 Dec 15;211(12):1566-70.

PMID:9412686
Abstract

OBJECTIVE

To summarize the radiographic and clinical findings, treatment, and outcome in cattle with osteochondrosis diagnosed radiographically.

DESIGN

Retrospective case series.

SAMPLE POPULATION

29 cattle with radiographic evidence of osteochondrosis.

PROCEDURES

Medical records were reviewed, and owners or referring veterinarians were contacted for outcome assessment. Data were analyzed for potential interactions between osteochondrosis classification (osteochondritis dessicans vs subchondral cyst-like lesions), clinical and radiographic findings, treatment, and outcome, using Fisher's exact test and descriptive statistics.

RESULTS

Osteochondrosis was associated with young, male, purebred cattle, clinical evidence of lameness, and radiographic evidence of concurrent degenerative joint disease. Osteochondritis dissecans and subchondral cyst-like lesions had similar clinical findings and outcomes but varied significantly in their radiographic distribution among joints. Osteochondrosis often manifests clinically as a unilateral condition, but bilateral lesions were often found (88%) when limbs were radiographically examined. Cattle managed conservatively tended to be culled (within 6 months of diagnosis because of lameness) more often than those managed surgically, despite the lack of treatment bias.

CLINICAL IMPLICATIONS

Osteochondrosis in cattle is often associated with lameness or degenerative joint disease. Conservative management does not result in a favorable clinical prognosis for long-term, lameness-free survival, and more studies need to be completed to evaluate the efficacy of surgical treatment of osteochondrosis in cattle.

摘要

目的

总结经X线诊断为骨软骨病的牛的影像学和临床检查结果、治疗方法及预后情况。

设计

回顾性病例系列研究。

样本群体

29头有骨软骨病X线证据的牛。

方法

查阅病历,并联系畜主或转诊兽医进行预后评估。使用Fisher精确检验和描述性统计分析骨软骨病分类(剥脱性骨软骨炎与软骨下囊肿样病变)、临床和影像学检查结果、治疗方法及预后之间的潜在相互作用。

结果

骨软骨病与年轻、雄性、纯种牛、跛行的临床证据以及并发退行性关节病的X线证据相关。剥脱性骨软骨炎和软骨下囊肿样病变有相似的临床表现和预后,但在关节间的X线分布有显著差异。骨软骨病在临床上常表现为单侧病变,但在对四肢进行X线检查时,常发现双侧病变(88%)。尽管不存在治疗偏向,但与接受手术治疗的牛相比,接受保守治疗的牛往往因跛行在诊断后6个月内被淘汰的频率更高。

临床意义

牛的骨软骨病常与跛行或退行性关节病相关。保守治疗不能带来长期无跛行生存的良好临床预后,需要完成更多研究来评估牛骨软骨病手术治疗的疗效。

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