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MEBO培植微粒皮再生疗法
引用本文:胡栋材.MEBO培植微粒皮再生疗法[J].中国烧伤创疡杂志,2012,24(4):306-306.
作者姓名:胡栋材
作者单位:北京美宝烧伤创疡研究所,北京,100020
摘    要:湿润烧伤膏(MEBO) 培植微粒皮再生疗法是皮肤原位再生复原技术(MEBT/ MEBO) 的临床过渡外科技术.它针对目前深Ⅲ度烧伤治疗仍以切痂或截肢、切瘢植皮法,对瘢痕体质患者束手无策,应用切削痂技术的外科医生在不能短时间内掌握MEBO/ MEBT 治疗深Ⅲ度创面的现状来实现的快速封闭深Ⅲ度创面的疗法.其应用范围包括:大面积深Ⅲ度烧伤创面、开放性体表创伤缺损创面和电击伤创面等.主要步骤:1.由表入里地削除创面2/3 层坏死组织后,使用MEBO 液化排除创面坏死组织; 2.原位培养新鲜皮下组织; 3.新鲜皮下组织平皮后,进行微粒皮种植; 4.原位培养种植微粒皮使其形成正常皮肤组织,实现创面愈合.优点:1.缩短封闭创面疗程; 2.减少外科创伤和治疗痛苦; 3.原位再生复原皮下组织; 4.创面皮肤再生愈合; 5.质量远远优于切痂植皮术.缺点:愈后质量不及MEBT/ MEBO 疗法.

关 键 词:微粒皮种植  MEBO  再生疗法  培植  皮肤原位再生  烧伤创面  切痂植皮术  皮下组织

MEBO-Cultured Micro-skin and Regenerative Therapy
HU Dong-cai.MEBO-Cultured Micro-skin and Regenerative Therapy[J].The Chinese Journal of Burns Wounds & Surface Ulcers,2012,24(4):306-306.
Authors:HU Dong-cai
Institution:HU Dong-cai
Abstract:MEBO-cultured intern-skin therapy is the clinical transitional technique of MEBT/MEBO and is an expedient therapy of closing deep m degree burns faster used by clinicians who are used to using conventional desiccatinn, escharectomy and skin grafting, having no way except escharectomy tbr scat-ring-susceptible patients and have difficulty in commanding MEBT/MEBO in a short time. The indications of this therapy include extensive deep Ul degree burns, open trauma and defect of body surface and electrical burns and so on. The main procedures are: 1. Remove a depth of 2/3 necrotic tissue from the external to the internal and use MEBO to liquefy and discharge the necrotic tissues on the wound; 2. In situ ctdture the fresh subcutaneous tissue; 3. Perlbnn micro-skin planting when the fresh subcutaneous tissue flats the skin; 4. In situ cul- ture and plant the micro-skin to make it develop into normal skin tissue and finally realize wound healing. Tile advantages of this therapy are: 1. Shoxlen the time of wound closure; 2. Reduce the suffering of surgical trauma and treatment ; 3. In situ regenerate and restore subcutaneous tissues; 4. Regenerative healing of wounds; 5. Far better quality of healing than escharectomy and skin grafting. But the disadvantage is that wound healing quality is inferior to that of MEBT/MEBO. The figures below are the typical clinical cases and please refer to the accompanying DVD with the current issue of the Journal for detailed material.
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