原位再生复原技术治疗深度烧伤致肌腱骨质裸露创面的疗效观察

目的总结、分析四肢功能部位深度烧伤致肌腱、骨质裸露创面应用原位再生复原技术治疗的临床效果，更好地规范临床治疗操作程序。方法对深度烧伤致功能部位肌腱、骨质裸露的54例患者创面早期应用原位再生复原技术治疗，利用药刀结合方法去除创面坏死组织后，涂抹湿润烧伤膏（MEBO）包扎治疗，厚约2mm，每日换药2次；随病情进展，在裸露骨质处打孔后用MEBO覆盖，待坏死组织排除干净后，改为暴露治疗，每6h换药1次，直至创面愈合。结果54例患者72处肌腱裸露部位全部愈合，其中配合邮票式植皮者16例（29．23％）。所有患者后期配合功能锻炼，创面局部均恢复了良好的外型和正常的生理功能。结论应用原位再生复原技术治疗深度烧伤所致的功能部位肌腱、骨质裸露，可恢复其良好的外形和功能，避免了皮瓣转移

Therapeutic Effect Observation of In Situ Regenerative Restoration Technology in the Treatment of Wounds with Tendon and Sclerotin Exposure Caused by Deep Burn

Objective: To Conclude and analyze the clinical therapeutic effect of In Situ Regenerative Restoration Technology in the treatment of wounds with tendon and sclerotin exposure caused by deep burns at functional sites of limbs in order to better standardize the operational procedures in clinic. Methods: Fifty-four patients with tendon and sclerotin exposed at functional sites caused by deep burns were treated with In Situ Regenerative Restoration Technology at an early stage. After necrotic tissues on the wounds were removed with drugs and surgical methods, MEBO was smeared at a thickness of about 2mm and then the bandage therapy was used and the dressing was changed once per day. Three days later, the dressing was changed twice per day. With the course of the disease treatment, pores were drilled on the sites with sclerotin exposed and then MEBO was used to cover the pores. When necrotic tissues were removed completely, adopt the exposed therapy and change the dressing once every six hours until the wounds healing. Results: Seventy-two wounds with tendon exposed in 54 patients were all healed but the stamp-like skin grafting was jointly performed in 16 patients (29.23%). All the patients were given functional exercise at the later stage and the wounds restored their favorable appearance and normal physiological functions. Conclusion: The In Situ Regenerative Restoration Technology in the treatment of tendon and sclerotin exposed wounds at functional sites caused by deep burns can restore the excellent appearance and functions of the affected functional sites, avoid the disadvantages of the skin flap transfer therapy including technical difficulties, its damage to normal tissue in donor site as well as its difficulty in popularization in local communities and etc. Therefore, the technology should be actively promoted to be applied in clinic.