Complications secondary to the use of standard bone wax in seven patients.
Complications secondary to the use of standard bone wax in seven patients.
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七名患者使用标准骨蜡继发并发症。
DOI：
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发表时间：
1993
影响因子：
1.3
通讯作者：
E. Sudmann
中科院分区：
文献类型：
--
作者：
O. Anfinsen;B. Sudmann;M. Rait;G. Bang;E. Sudmann
在7名妇女的择期手术中，用蜂蜡制成的普通骨蜡来止血。其中5例切除了跟骨外生骨疣和跟骨肌腱附着处的囊，1例切除了第一跖骨头内侧外生骨疣，1例切除了肩峰。术后，所有患者均出现致残性局部疼痛和压痛。其中3例患者在使用骨蜡的部位出现了牢固可见的皮下积液，在完整皮肤下很容易触及。在4至52个月后的再次手术中，所有患者均切除了棕色软肉芽组织块。7人中有5人疼痛缓解。显微镜下，所有患者均可见骨蜡肉芽肿伴明显异物反应。
Ordinary bone wax, manufactured from beeswax, was used to stop bleeding from cancellous bone in elective surgery among seven women. Five of them had a resection of a calcaneal exostosis and bursa at the insertion of the calcaneous tendon, one underwent a resection of a medial exostosis of the first metatarsal head, and one had an acromial resection. Postoperatively, all patients had disabling local pain and tenderness. Three of them developed firm visible swellings where bone wax had been used, which was easily palpable under the intact skin. At reoperation, 4 to 52 months later, masses of brown, soft granulation tissue were excised in all patients. Five of seven were relieved from pain. Microscopically, a bone wax granuloma with marked foreign body reaction was seen in all patients.