综合治疗肛周坏死性筋膜炎十例

Comprehensive treatment on ten patients with perianal necrotizing fasciitis

2016年6-12月,笔者科室收治10例肛周坏死性筋膜炎患者,其中男8例、女2例,年龄42~69岁,采取早期彻底清创及围手术期综合支持治疗迅速稳定患者全身状况,直接缝合或采用自体头皮和/或邻近局部随意皮瓣转移封闭创面。清创后创面面积10cm×8cm^54cm×21cm,皮瓣面积约8cm×5cm,供瓣区直接拉拢缝合。术后所有患者移植皮片、皮瓣均成活,创面完全愈合。随访6个月~1年,肛周坏死性筋膜炎均无复发,受累下肢功能不受影响。

Ten patients with perianal necrotizing fasciitis were admitted to our department from June to December 2016. There were 8 men and 2 women among the patients, aged 42 to 69 years. Early and complete debridement surgery and comprehensive supportive treatment during perioperative period were carried out to quickly stabilize the patient′s overall condition, and wounds were sutured directly or repaired with autologous scalps and or adjacent local random flaps. After debridement, wound areas ranged from 10 cm×8 cm to 54 cm×21 cm, and area of the flap was about 8 cm×5 cm. The donor site of flap was sutured directly. After the operation, all skin grafts and the flap survived, and wounds of all patients healed. During follow-up of six months to one year, there was no recurrence of perianal necrotizing fasciitis, and functions of the involved lower extremities didn′t be influenced.