计算机断层扫描在评估坏死性筋膜炎中的实用性。

Usefulness of computerized tomography in evaluating necrotizing fasciitis.

作者信息

Rogers J M, Gibson J V, Farrar W E, Schabel S I

出版信息

South Med J. 1984 Jun;77(6):782-3. doi: 10.1097/00007611-198406000-00034.

DOI:10.1097/00007611-198406000-00034

Abstract

A 54-year-old man was seen with what appeared to be cellulitis of the left lower extremity. Roentgenograms showed no evidence of gas in soft tissues. Two days later films revealed gas in soft tissues of the leg, but not in the thigh. Computerized tomography showed pockets of gas in the lateral fascial planes of both leg and thigh. Surgical exploration revealed extensive necrotizing fasciitis. CT scanning provided a much more accurate picture of the extent of infection than did standard radiographs.

摘要

一名54岁男性因左下肢疑似蜂窝织炎前来就诊。X线片显示软组织内无气体。两天后片子显示小腿软组织内有气体，但大腿没有。计算机断层扫描显示双侧小腿和大腿的外侧筋膜平面有气体积聚。手术探查发现广泛的坏死性筋膜炎。与标准X线片相比，CT扫描能更准确地显示感染范围。