Haury B, Rodeheaver G, Stevenson T, Bacchetta C, Edgerton M T, Edlich R F
Surg Gynecol Obstet. 1975 Jul;141(1):35-9.
Cellulitis of the scrotum and penis is caused, in the majority of instances, by a beta hemolytic streptococci without a discernible portal of entry. Clostridium, occasionally, will result in this disease as a manifestation of a perirectal abscess. In either instance, fluid accumulates rapidly in the closed space between Colles' and Buck's fascia, producing intense swelling of the scrotum. If this compartment is not immediately decompressed by linear incisions, devascularization of the scrotal and penile skin will often occur, resulting in gangrene. Immediate treatment of the bacterial infection with penicillin also is essential. If gangrene does develop, radical debridement of the necrotic tissue as well as a wide margin of adjacent inflamed skin must be undertaken. Continual monitoring of the microflora of the debrided would is essential for the selection of the appropriate antibiotic against any secondary intruders. Coverage of the granulating would is accomplished when the would bacterial count is below 10-5 per gram of tissue.
阴囊和阴茎蜂窝织炎在大多数情况下由β溶血性链球菌引起，且无明显的入侵门户。偶尔，梭状芽孢杆菌会导致这种疾病，表现为直肠周围脓肿。在任何一种情况下，液体都会在Colles筋膜和Buck筋膜之间的封闭间隙中迅速积聚，导致阴囊剧烈肿胀。如果这个间隙不立即通过线性切口减压，阴囊和阴茎皮肤的血管会经常发生闭塞，导致坏疽。立即用青霉素治疗细菌感染也至关重要。如果确实发生坏疽，必须对坏死组织以及相邻的大片炎症皮肤进行彻底清创。持续监测清创伤口的微生物群对于选择针对任何继发性入侵者的合适抗生素至关重要。当伤口细菌计数低于每克组织10-5时，即可完成对肉芽伤口的覆盖。
