MEBO治疗跟骨骨折术后皮肤坏死疗效观察

Therapeutic Efficacy of MEBO Gauze in the Treatment of Postoperative Skin Necrosis of Calcaneal Fracture

目的观察湿润烧伤膏(MEBO)纱条治疗跟骨骨折术后皮肤坏死的临床疗效。方法 2008年7月～2012年7月,应用MEBO纱条治疗跟骨骨折术后切口皮缘坏死18例,先将消毒后的纱布剪成与创面形状大小相仿的纱条,再将药膏均匀涂于纱布上,药膏厚约0.3 mm,覆盖于单纯皮肤坏死创面,无菌敷料覆盖,纱布包扎,每天换药1次;坏死组织界限已清楚,但仍有部分未脱落坏死组织的创面,剪除坏死组织后覆盖MEBO纱条,无菌敷料包扎,3 d换药1次。结果 15例表浅皮缘坏死创面和2例皮肤全层坏死创面完全愈合,愈合时间最短10 d,最长28 d,皮肤质地良好,1例患者于术后4个月骨折愈合,取出钢板后,创而继续应用MEBO纱条治疗,直至愈合。结论 MEBO纱条治疗跟骨骨折术后皮肤坏死疗效可靠,无不良反应,操作方法简便易行。

Objective To observe the clinical effect of MEBO gauze in the treatment of postoperative skin necrosis of calcaneal fracture. Methods Between July, 2008 and July, 2012, 18 patients with incision edge necrosis resulting from calcaneal fracture surgery were treated with MEBO gauze. Cut the disinfected gauze into strips at the same size as the wound, smear MEBO on the strips at a thickness of about 0. 3 mm, and then put them on the simple necrotic wounds and cover them with sterile dry dressing and lastly wrap them up with bandage. Change dressing once per day. When the bound-ary of necrotic wounds was clear but there was still some necrotizing tissues not falling off, the necrotizing tissues were cut off and then the wounds were covered with MEBO gauze and bandaged with sterile dressing. Change dressing once every three days. Results Of the 18 patients, 15 with superficial necrotic wounds and 2 with full-thickness skin necrotic wounds got healed with excellent skin texture, and the shortest healing time was 10 days while the longest was 28 days. The fracture of the remaining one patient got healed in 4 months and after the steel plate was taken out, the wound was treated with MEBO gauze continuously until healing. Conclusion The therapeutic efficacy of MEBO gauze in treating postoperative skin necrosis of calcaneal fracture is reliable without side effects and the operation is simple and convenient.