CAJ | 학술논문

目的：总结腹部切口坏死性筋膜炎的治疗经验。方法：2006-2013年收治腹部切口坏死性筋膜炎患者14例，随机分为常规换药组和VSD组，各7例。两组确诊后均开放切口引流、彻底清创及有效的抗生素治疗，常规换药组采用常规换药，VSD组应用持续封闭负压引流。观察两组疗效。结果：14例均治愈，无一例复发。VSD组平均切口清洁时间和切口愈合时间明显比常规换药组缩短。结论：坏死性筋膜炎起病较急，进展迅速，必须尽早确诊，给予有效抗生素治疗的同时强调早期引流、彻底清创，并要加强临床护理及相关营养等支持疗法。
목적：총결복부절구배사성근막염적치료경험。방법：2006-2013년수치복부절구배사성근막염환자14례，수궤분위상규환약조화VSD조，각7례。량조학진후균개방절구인류、철저청창급유효적항생소치료，상규환약조채용상규환약，VSD조응용지속봉폐부압인류。관찰량조료효。결과：14례균치유，무일례복발。VSD조평균절구청길시간화절구유합시간명현비상규환약조축단。결론：배사성근막염기병교급，진전신속，필수진조학진，급여유효항생소치료적동시강조조기인류、철저청창，병요가강림상호리급상관영양등지지요법。
Objective:To summarize the treatment experience of abdominal incision necrotic fasciitis.Methods:14 cases with abdominal incision necrotic fasciitis were selected from 2006 to 2013.They were randomly divided into the routine treatment group and the VSD group with 7 cases in each.The two groups after diagnosis were given open incision drainage,thorough debridement and effective antibiotic treatment.The routine treatment group were with conventional treatment,and the VSD group applied continuous seal negative pressure drainage.Observe curative effect of two groups.Results: 14 cases were cured without recurrence.The average cleaning time of incision and incision healing time of the VSD group were significantly shorter than those of the routine treatment group.Conclusion:Necrotizing fasciitis are more acute onset and rapid progress.It must be diagnosed early. It is given an effective antibiotic treatment,at the same time,the early drainage and thorough debridement are important.It also should strengthen the clinical nursing and nutrition support therapy.