Background: A skin-sparing approach for the treatment of necrotizing soft-tissue infections (NSTIs) removes necrotic tissue planes while leaving viable overlying skin. Subsequent closure of the spared skin may decrease the need for graft-based reconstruction, which is associated with contracture, pain, and deformity. This study compared the outcomes of a traditional approach (excision of overlying skin with diseased fascia) with that of a skin-sparing approach for patients with NSTI treated at a major metropolitan medical center.

中文翻译：

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传统疗法和保留皮肤疗法在坏死性软组织感染外科治疗中的比较。

背景：用于保留坏死性软组织感染（NSTIs）的保留皮肤的方法可去除坏死组织平面，同时保留上覆的可行皮肤。剩余皮肤的后续闭合可减少基于移植物的重建的需要，这与挛缩，疼痛和畸形相关。这项研究比较了在大城市医疗中心治疗的NSTI患者的传统方法（切除覆有病的筋膜的皮肤）和保留皮肤的方法的结果。