湿润烧伤膏治疗创疡性骨外露12例临床报告

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1cm^2直接涂擦MEBO，每天3～4次，大于1cm^2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1cm^2，3周-5周肉芽覆盖，5例骨外露大于1cm^2，2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，是一种理想的治疗措施。

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

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.