MEBTMEBO治疗各类手指组织缺损的临床效果观察.docVIP

MEBTMEBO治疗各类手指组织缺损的临床效果观察 唐学军肖磊 四川省宜宾蜀南医院644000 Clinical effect of MEBT/MEBO in treating all kinds of finger tissue defect Xiao Lei Tang Xuejun Yibin Sichuan southern hospital 644000 【摘要】目的观察皮肤原位再生复原技术(MEBT/MEBO)治疗各类手指组织缺 损的临床效果观察。方法将60例外伤导致手指组织缺损患者，按入院的先后 顺序随机分为A、B两组，每组30例，A组给予手术清创、止血、骨折复位克氏 针内固定等相应处理，B组处置如A组，在此基础上对组织缺损创面应用 MEBT/MEBO治疗，观察创面愈合时间及效果。结果所有患指创面均自行愈合, A组愈合时间较长，B组愈合时间明显低于A组(plt;0.05) .B组在皮肤质地、 外形，瘢痕挛缩，指间关节活动等方面明显优于A组。B组术后随访无一例由 MEBT/MEBO所引起的并发症。结论应用MEBT/MEBO治疗外伤后各类手指组 织缺损创面操作简单、安全、效果满意，值得推广。 【关键词】手指组织缺损；MEBT/MEBO Objective To observe the clinical effect of the skin in situ regeneration (MEBT/MEBO) in the treatment of all kinds of finger tissue defect. Methods 60 cases with traumatic cause of finger tissue defect in patients, according to the admission of the sequence were randomly divided into two groups (a, b), with 30 cases in each group. Group a given clear surgical debridement, hemostasis, fracture reduction and Kirschner needle fixed corresponding treatment, disposal of group B as a group, on the basis of tissue defect of a surface application of MEBT / MEBO in treating, observe the wound healing time and effect. Results all the patients that the wounds were healed. Group a healing for a long time, group B healing time was significantly lower than that of group A (P lt; 0.05). B group in the skin texture and appearance of the, scar contracture, interphalangeal joint activities is obviously better than that of a group. There was no complication caused by B in the MEBT/MEBO group. Conclusion the application of MEBT/MEBO in the treatment of all kinds of traumatic injury of finger tissue defect is simple, safe and effective. It is worth promoting. [Key words] finger tissue defect; MEBT/MEBO 手指外伤后出现皮肤软组织缺损（包括离断缺损）在手外科急诊患者中 非常多见，传统的治疗原则是根据缺损的情况，无骨外露者采取植皮手术，有骨 外露的采取局部皮瓣，指动脉岛状皮瓣，指背筋膜皮瓣或腹部皮瓣转移修复术; 虽然创面愈合快，但是手术会增加新的创伤，牺牲供区皮肤，以及瘢痕形成，影 响美观；而更重要的是修复后的手指外观及皮肤颜色、质地难以与原奋皮肤相 媲美。为减少缺损皮肤组织与原有组织的差距，我院使用MEBT/MEBO,研究其 疗效。 资料和方法 一般资料 将2012.04-2015.04在我院60例手外伤患者，年龄1.5岁?70岁