Meng Zhe, Wang Yanchen, Chao Jun, Ji Yongjian, Sun Yaofei, Zhu Jiang, Gao Tongbin, Chen Si, Wang Shenyang
Yuhe Campus of Weifang Medical College, Weifang, China.
Department of Urology, Weifang people's Hospital, Weifang, China.
Front Surg. 2022 Jul 19;9:952042. doi: 10.3389/fsurg.2022.952042. eCollection 2022.
The incidence rate of necrotizing fasciitis(NF) is low, but it has a high mortality rate. At present, it lacks experience in clinical treatment in municipal and county-level hospitals, insufficient awareness of disease risk, lack of experience in disease surgical intervention, and lack of a set of mature treatment norms and standards. Most patients have no time to transfer to a higher hospital for treatment. In January and April 2022, two cases of large-scale necrotizing fasciitis of the scrotum and abdominal wall were treated in the Department of Urology of Weifang people's Hospital respectively and were clinically cured after active surgical debridement combined with broad-spectrum antibiotics. Through the retrospective analysis of the diagnosis and treatment of two cases of necrotizing fasciitis, this paper analyzes and summarizes the scope of surgical debridement of NF, postoperative dressing changing skills, timing of multiple debridements, application and timing of vacuum sealing drainage(VSD), and the combined use of antibiotics. To provide experience for clinical diagnosis and treatment of necrotizing fasciitis.
坏死性筋膜炎（NF）的发病率较低，但死亡率较高。目前，市县级医院在临床治疗方面经验不足，对疾病风险的认识不够，缺乏疾病手术干预经验，且缺乏一套成熟的治疗规范和标准。大多数患者没有时间转至上级医院进行治疗。2022年1月及4月，潍坊人民医院泌尿外科分别收治了2例阴囊及腹壁大面积坏死性筋膜炎患者，经积极手术清创并联合使用广谱抗生素后临床治愈。本文通过对2例坏死性筋膜炎诊治过程的回顾性分析，对NF的手术清创范围、术后换药技巧、多次清创时机、封闭式负压引流（VSD）的应用及时机、抗生素的联合使用等进行分析总结。旨在为坏死性筋膜炎的临床诊治提供经验。
