欢迎访问中国烧伤创疡杂志网站！

MEBT/ MEBO 治疗剖宫产术后切口深部脓肿1 例
Case Report of Deep Incision Abscess after Cesarean Section Treated with MEBT / MEBO

龚海粟,陈方凯.MEBT/ MEBO 治疗剖宫产术后切口深部脓肿1 例[J].中国烧伤创疡杂志,2016,(5):383~386.

DOI：

英文关键词:Cesarean section Abscess Incision infection MEBT/ MEBO Efficacy

基金项目:

作者	单位
龚海粟	福安市医院妇产科
陈方凯	福安市医院普外科

摘要点击次数: 2336

全文下载次数: 4225

中文摘要:

【摘要】目的观察原位再生医疗技术(Moist Exposed Burn Therapy/ Moist Exposed Burn Ointment, MEBT/MEBO) 治疗剖宫产术后切口深部脓肿的临床疗效?方法对福安市医院妇产科收治的1 例剖宫产术后切口深部脓肿患者予以简单清创后, 全程采用原位再生医疗技术治疗, 同时予以全身抗感染治疗, 观察创面愈合进程和愈合效果?结果治疗3 d 后, 患者体温?血常规等均恢复正常, 创面分泌物明显减少, 细菌培养结果为阴性, 创周红肿及硬结消失; 治疗6 d 后, 创面肉芽组织生长良好, 颜色逐渐变为粉红色, 组织水肿消退, 切口逐渐收缩变小; 治疗12 d 后, 切口自然对合?收缩; 治疗18 d 后, 腹直肌前鞘层切口封闭, 浅层切口进一步缩小, 切口对合规则有序; 治疗27 d 后, 大部分切口愈合; 治疗35 d 后, 切口线状愈合, 效果满意?结论 MEBT/ MEBO治疗剖宫产术后切口感染效果显著, 建议将其作为妇产科术后切口治疗的常规用药, 以防治切口感染?

英文摘要:

【Abstract】 Objective To observe the clinical efficacy of Moist Exposed Burn Therapy/ Moist Exposed Burn Ointment (MEBT/ MEBO) in the treatment of deep incision abscess after cesarean section. Methods One patient with deep incision abscess after cesarean section and admitted into the gynecology and obstetrics department of Fu’an Hospital was treated with MEBT/ MEBO through the whole treatment course following the simple debridement, in combination with the systemic anti?infection therapy. The wound healing process and effects were observed. Results Three days after the treatment, the patient’s body temperature and blood routine examination results returned to normal, the wound secretions reduced obviously, bacterial culture reported negative results, and the wound peripheral swelling and induration disappeared.Six days after the treatment, the wound granulation tissues grew well, with the color gradually being pink, tissue edema disappeared and the incision gradually became smaller. Twelve days after the treatment, the incision edges grew towards each other and the incision size decreased. Eighteenth days after the treatment, the incision at the rectus abdominis anterior sheath layer closed, the superficial incision further decreased and the incision edges matched orderly. Twenty?seven day after the treatment, the majority of the incision was healed. Thirty?five days after the treatment, the incision realized the linear healing and the healing result was satisfying. Conclusion MEBT/ MEBO in the treatment of incision infection after cesarean section can realize remarkable therapeutic effect. MEBT/ MEBO should be recommended for routine use in the incision management after cesarean section to prevent and treat incision infection.