头颈部坏死性筋膜炎诊治进展

doi:10.19438/j.cjoms.2025.03.002

摘要/Abstract

摘要： 头颈部坏死性筋膜炎是一种少见的严重头颈部感染性疾病,主要表现为皮下组织和筋膜坏死,很少累及肌肉,进展迅速,具有较高致死率。本文系统综述头颈部坏死性筋膜炎的病因、临床表现、诊断、治疗和预后,并结合临床经验探讨其诊治方法,以加深对该病的认识,提高诊治水平,降低死亡率。

关键词: 坏死性筋膜炎, 坏死性软组织感染, 头颈部, 负压伤口治疗

Abstract: Necrotizing fasciitis of the head and neck is a rare and severe infectious disease characterized by necrosis of subcutaneous tissue and fascia, leaving the muscles initially unaffected. This infection progresses rapidly, if no intervention, and has a high mortality rate with no or inappropriate intervention. The purpose of this article was to systematically review the etiology, clinical manifestations, diagnosis, treatment and prognosis of necrotizing fasciitis of the head and neck, and to discuss its diagnosis and treatment based on clinical experience, so as to enhance the understanding of the disease, reduce the mortality rate, and improve the diagnosis and treatment level of the disease.

Key words: Necrotizing fasciitis, Necrotizing soft tissue infection, Head and neck region, Negative pressure wound therapy

中图分类号:

R782.3

陈书军. 头颈部坏死性筋膜炎诊治进展[J]. 中国口腔颌面外科杂志, 2025, 23(3): 215-220.

Chen Shujun. Necrotizing fasciitis of the head and neck: an update on diagnosis and management[J]. China J Oral Maxillofac Surg, 2025, 23(3): 215-220.

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