国际医药卫生导报 ›› 2023, Vol. 29 ›› Issue (2): 269-.DOI: 10.3760/cma.j.issn.1007-1245.2023.02.029

• 病例报告 • 上一篇    下一篇

肛周外伤后合并肛周和背部坏死性筋膜炎1

顾家博1,3  王俊2  张春霞2  金黑鹰2   

  1. 1连云港市中医院肛肠科,连云港 2220042江苏省第二中医院肛肠科,南京 2100173南京中医药大学,南京 210029

  • 出版日期:2023-01-15 发布日期:2023-01-30
  • 通讯作者: 王俊,Email:641594638@qq.com

One case of perianal and back necrotizing fasciitis after perianal trauma 

Gu Jiabo1,3, Wang Jun2, Zhang Chunxia2, Jin Heiying2   

  1. 1 Department of Anorectal Surgery, Lianyungang Hospital of Traditional Chinese Medicine, Lianyungang 222004, China; 2 Department of Anorectal Surgery, Jiangsu Provincial Second Chinese Medicine Hospital, Nanjing 210017, China; 3 Nanjing University of Chinese Medicine, Nanjing 210029, China

  • Online:2023-01-15 Published:2023-01-30
  • Contact: Wang Jun, Email: 641594638@qq.com

摘要:

肛周坏死性筋膜炎低发病率,高病死率,是临床中较棘手的问题。组织感染是主要病因,早期诊断、积极治疗是治疗本病的关键。对于大面积组织缺损的患者建议二期愈合,术后抗感染治疗应升阶梯使用。手术仍是治疗本病的主要方式。

关键词:

坏死性筋膜炎, 肛周外伤, 组织感染, 外科手术

Abstract:

 The low morbidity and high mortality of perianal fatal fasciitis make it a difficult clinical problem. Tissue infection is the main cause. Early diagnosis and active treatment are the key to the treatment of this disease. For patients with large tissue defects, secondary healing is recommended, and postoperative anti-infective treatment should be used as ascending steps. Surgery is still the main way to treat this disease.

Key words:

Perianal necrotizing fasciitis, Perianal trauma, Tissue infection, Surgical operation