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中华医学超声杂志(电子版) ›› 2021, Vol. 18 ›› Issue (10) : 1005 -1007. doi: 10.3877/cma.j.issn.1672-6448.2021.10.018

病例报告

下肢坏死性筋膜炎超声诊断及随访一例
张庆玲1, 戚波2, 刘晓晨3, 陈长远3, 张强3,()   
  1. 1. 277100 枣庄市立医院超声科;277100 枣庄市市中区人民医院超声科
    2. 277100 枣庄市市中区人民医院超声科
    3. 277100 枣庄市立医院超声科
  • 收稿日期:2020-12-07 出版日期:2021-10-01
  • 通信作者: 张强

Ultrasonic diagnosis and follow-up of necrotizing fasciitis of the lower extremity: a case report

Qingling Zhang1, Bo Qi2, Xiaochen Liu3   

  • Received:2020-12-07 Published:2021-10-01
引用本文:

张庆玲, 戚波, 刘晓晨, 陈长远, 张强. 下肢坏死性筋膜炎超声诊断及随访一例[J]. 中华医学超声杂志(电子版), 2021, 18(10): 1005-1007.

Qingling Zhang, Bo Qi, Xiaochen Liu. Ultrasonic diagnosis and follow-up of necrotizing fasciitis of the lower extremity: a case report[J]. Chinese Journal of Medical Ultrasound (Electronic Edition), 2021, 18(10): 1005-1007.

图1 坏死性筋膜炎患者入院超声检查图像。图a示小腿内侧,筋膜层不均质回声,较厚约2 cm;图b示大腿内侧,筋膜层呈低回声
图2 坏死性筋膜炎右小腿清创术术中所见及术后病理图像。图a为术中所见,筋膜层广泛坏死伴腥臭,有淡红色脓性液体流出;图b为镜下见坏死组织及较多急慢性炎细胞浸润(HE ×100)
图3 坏死性筋膜炎患者术后复查超声图像。图a为术后1周超声复查示大腿外侧,筋膜层见低回声区,较厚约1.0 cm;图b为术后2周超声复查示大腿外侧低回声区范围增大,筋膜层见无回声区,较厚约1.5 cm;图c为术后3周超声复查示大腿外侧病变,筋膜层见低回声;图d为出院后2个月超声复查,大腿段完全恢复正常
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