29例颈部坏死性筋膜炎临床分析  

Clinical analysis of 29 cases of cervical necrotizing fasciitis

作　　者：赵雅铭[1] 易红良 关建 张玉君 殷善开 

机构地区：[1]上海市长宁区中心医院耳鼻咽喉科,上海200336 [2]上海交通大学附属第六人民医院耳鼻咽喉科上海交通大学(医学院)耳鼻咽喉科研究所

出　　处：《临床耳鼻咽喉头颈外科杂志》2014年第7期490-492,共3页Journal of Clinical Otorhinolaryngology Head And Neck Surgery

摘　　要：目的:探讨颈部坏死性筋膜炎的临床特点及治疗经验。方法:29例颈部坏死性筋膜炎患者均经CT检查确诊,其中12例行气管切开并行颈侧切开排脓探查术,另17例仅行颈侧切开排脓探查术,术中颈部脓肿切开引流,术后冲洗换药并进行抗感染治疗。结果:28例患者治愈出院,1例死亡。其中有2例并发颈内静脉血栓,4例并发纵隔感染,后经治疗后痊愈。随访半年无复发病例。结论:颈部坏死性筋膜炎患者确诊后应尽早采取手术探查,行颈部脓肿切开引流治疗,可获得满意疗效,并有助于预防严重并发症。Objective：To study the experience of clinical features and treatment of deep cervical necrotizing fasciitis. Method：All 29 cases of cervical necrotizing fasciitis patients were diagnosed by CT, 12 cases underwent tracheostomies, lateral neck incisions and drainage operations, the other 17 patients underwent lateral neck inci- sions and drainage operations. Sequently washing, dressing changes and anti infection treatments were taken. Re- suit：Twenty-eight cases were cured, 1 cases died. During a follow-up of half a year,no relapse. Conclusion：When patient was sufferd the cervical necrotizing fasciitis, surgical operation for exploration should be taken as soon as possible,and incision and drainage in the treatment of cervical abscess would obtain a satisfactory curative effect, which would prevent serious complications.

关 键 词：感染 并发症 颈部坏死性筋膜炎 外科手术 

分 类 号：R767.8[医药卫生—耳鼻咽喉科]