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[延迟性坏死性筋膜炎：经尿道下吊带治疗压力性尿失禁手术的一种并发症]

[Delayed necrotizing fasciitis: a complication of stress incontinence surgery by suburethral sling].

作者信息

Tholozan A-S, Delapparent T, Terzibachian J-J, Leung F, Govyadovskiy A, Maillet R, Riethmuller D

机构信息

Service de gynécologie-obstétrique, centre hospitalier universitaire de Besançon, 2, place Saint-Jacques, 25030 Besançon, France.

Service de gynécologie obstétrique, centre hospitalier de Belfort Montbéliard, site de Belfort, 14, rue de Mulhouse, 90000 Belfort, France.

出版信息

Gynecol Obstet Fertil. 2014 Jun;42(6):458-61. doi: 10.1016/j.gyobfe.2014.01.016. Epub 2014 May 20.

DOI:10.1016/j.gyobfe.2014.01.016
PMID:24852909
Abstract

We report a 50-year-old woman case with an extensive necrotizing fasciitis (NF). The NF appeared 10 years after a tension free vaginal tape procedure for urinary stress incontinence. Vital prognosis was engaged due to the initial sepsis severity. This kind of complication is rare and could be under estimated. NF usually appear soon after surgery, whatever within the year following implantation. Anyway, NF are always related to a vaginal erosion of the tape.

摘要

我们报告了一例50岁患有广泛性坏死性筋膜炎（NF）的女性病例。该坏死性筋膜炎在无张力阴道吊带术治疗压力性尿失禁10年后出现。由于初始脓毒症的严重程度，危及生命的预后情况出现。这种并发症很罕见，可能未得到充分重视。坏死性筋膜炎通常在手术后很快出现，无论在植入后的哪一年。无论如何，坏死性筋膜炎总是与吊带的阴道侵蚀有关。

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