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KMID : 0371319970520050766
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Journal of the Korean Surgical Society
1997 Volume.52 No. 5 p.766 ~ p.770
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MRI for the Early Diagnosis of Necrotizing Fasciitis
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손길수
최인석/김기훈/정기훈/홍윤식
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Abstract
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Necrotizing fasciitis is an uncommon infection of the subcutaneous soft tissue and fascia. The infection expands rapidly and is highly lethal, so an early diagnosis and a radical debridement of all affected tissues until healthy tissue is
encountered is
imperative. There are many diagnostic methods such as simple X-ray study, ultrsonography, computerized tomography and diagnostic multiple incisions, but nothing can disclose the extent of affected tissue definitely. Recently someone advocated
that
magnetic resonance imaging(MRI) is useful to diagnose necrotizing fasciitis. We could determine the extent of underlying infection in a patient with perineal necrotizing fasciitis by using preoperative MRI, and treat it by one surgical resection.
We propose that MRI can be to diagnose the necrotizing fasciitis early and to disclose the extent of affected tissue, to help determine the extent of resection.
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KEYWORD
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