Niedermueller B, Singer G, Pickl P, Jesacher M
Landeskrankenhaus Villach, Nikolaigasse 43, 9500, Villach, Österreich.
Unfallchirurg. 2018 Mar;121(3):256-260. doi: 10.1007/s00113-017-0451-x.
This case report describes a 55-year-old male patient with type II necrotizing fasciitis (NF) of the hand and forearm. The rapid progression of the tissue infection could be successfully stopped with radical surgical débridement and antibiotic therapy. For the reconstruction of the extensive loss of soft tissue a combination of split-thickness skin graft (STSG) and the synthetic dermal substitute MatriDerm® was used. In cases of NF, MatriDerm® and STSG provide a rapidly available and simple alternative to other reconstruction techniques.
本病例报告描述了一名55岁男性患者，患有手部和前臂的II型坏死性筋膜炎（NF）。通过根治性手术清创和抗生素治疗，成功阻止了组织感染的快速进展。为修复大面积软组织缺损，采用了中厚皮片移植（STSG）和合成真皮替代品MatriDerm®相结合的方法。在坏死性筋膜炎病例中，MatriDerm®和中厚皮片移植为其他重建技术提供了一种快速可用且简单的替代方案。
