Coquilhat P, Monod P, Delgove L, Beydoun S, Descotes J L, Rambeaud J J, Faure G
CHU de Grenoble, Service d'Urologie, Hôpital A. Michallon.
Prog Urol. 1992 Apr;2(2):303-10.
The emergency treatment of Fournier's and perineal gangrene is now well defined and is based on excision of the necrotic tissues and broad spectrum antibiotics combined with hyperbarid oxygen therapy and symptomatic resuscitation measures. However, several procedures have been described for the reconstruction of the excised zones. In the light of one case of Fournier's gangrene, the authors evaluate reconstruction of the penile skin by means of a helical split-skin graft. With a follow-up of one year, the morphological and functional result was excellent. The patient has normal erection and the suture line does not contain any retractile adhesions. The authors therefore consider that this simple, but little known procedure should be part of the urologist's therapeutic arsenal for reconstruction of the penile skin.
福尼尔坏疽和会阴部坏疽的紧急治疗目前已明确，其基础是切除坏死组织、使用广谱抗生素，并结合高压氧治疗和对症复苏措施。然而，已有多种用于重建切除区域的手术方法被描述。鉴于一例福尼尔坏疽病例，作者评估了采用螺旋状分层皮片移植重建阴茎皮肤的方法。经过一年的随访，形态和功能结果均极佳。患者勃起功能正常，缝合线处无任何回缩性粘连。因此，作者认为这种简单但鲜为人知的手术方法应成为泌尿外科医生重建阴茎皮肤治疗手段的一部分。
