湿润烧伤膏治疗创疡性骨外露12例临床报告

A report of 12 cases of traumatic born exposure wound treated with MEBO

目的 :探讨湿润烧伤膏 (MEBO)治疗创疡性骨外露的效果。方法 :应用MEBO对 12例创疡性骨外露病人进行了治疗 ,创面小于 1cm2 直接涂擦MEBO ,每天 3～ 4次 ,大于 1cm2 用 8MM开颅钻钻孔 ,或同时去除骨密质 ,然后涂MEBO至肉芽组织覆盖骨外露后植皮。结果 :7例创疡性骨外露小于 1cm2 ,3周— 5周肉芽覆盖 ,5例骨外露大于 1cm2 ,2周～ 3周肉芽组织覆盖 ,所有移植皮片Ⅰ期成活 ,无骨髓炎、窦道等并发症发生。结论 :创疡性骨外露应用MEBO治疗 ,方法简便实用 ,效果显著 。

Objective:To discuss the effect of MEBO in treating bone exposure resulted from soft tissue wounds. Method: 12 cases of bone exposure were treated with MEBO. Woundssmaller than 1 cm2 were treated directly with MEBO, 3 times a day. Wounds largerthan 1 cm2 were drilled to remove the solid bone and then MEBO was applied to the hole. After granulation covered the exposed bone, skin grafting was performed.Result: 7 cases had the exposed wounds smaller than 1 cm2, theirwound granulation covered the exposed bone in 3 to 5 weeks and 5 cases had exposed bone larger than 1 cm2, their wound granulation covered the exposed bone in 2 to 3 weeks. All the skin flaps survived by 1st intention. No osteomyelitis and no sinusitis happened. Conclusion: MEBO for treating traumatic bone exposure is very effective. It is easy and simple to apply.