肛周坏死性筋膜炎伴腹膜后延伸一例病例报道  

A case of perianal necrotizing fasciitis with retroperitoneal extension

作　　者：王春霞 赵丽霞[1] 张迪 张洪来 张维胜[2] 王涛[2] 杨熊飞[2] Wang Chunxia;Zhao Lixia;Zhang Di;Zhang Honglai;Zhang Weisheng;Wang Tao;Yang Xiongfei(The First Clinical Medical College of Gansu University of Chinese Medicine,Lanzhou 730000,China;Department of Anorectal,Gansu Provincial people's Hospital,Lanzhou 730000,China)

机构地区：[1]甘肃中医药大学第一临床医学院,兰州730000 [2]甘肃省人民医院肛肠科,兰州730000

出　　处：《中华结直肠疾病电子杂志》2024年第3期256-259,共4页Chinese Journal of Colorectal Diseases(Electronic Edition)

基　　金：甘肃省自然科学基金项目(22JR5RA653);甘肃省肛肠疾病临床医学研究中心项目(20JR10RA434);兰州市科技计划项目(2022-5-68)。

摘　　要：坏死性筋膜炎(NF)是一种罕见但可能致命的疾病.它被定义为细菌快速扩散的皮下软组织感染.NF延伸到腹膜后可能会使这种致命性的疾病进一步复杂化.我们报告了 1例37岁的患者,因肛周疼痛、红肿、脓性渗出和发热症状就医.经过详细检查诊断为肛周NF,并己延伸至腹膜后区域,导致腹膜后局部感染.患者入院后接受了抗生素治疗,经治疗后恢复良好,感染得到了控制,最后顺利出院.Necrotizing fasciitis(NF) is a rare but potentially fatal disease. It is defined as a subcutaneous soft tissue infection in which bacteria spread rapidly. NF extending retroperitoneally may further complicate this deadly disease. We report a 37-year-old patient who sought medical attention for perianal pain, redness, purulent exudation, and fever. Upon detailed examination, the diagnosis was perianal NF, which had extended into the retroperitoneal area, resulting in a local retroperitoneal infection. The patient received antibiotics after admission, the patient recovered well after treatment, the infection was controlled, and finally discharged successfully.

关 键 词：肛周脓肿 肛周坏死性筋膜炎 腹膜后坏死性筋膜炎 

分 类 号：R657.1[医药卫生—外科学]