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福尼尔坏疽中行无结肠造口的直肠转流术

Rectal diversion without colostomy in Fournier's gangrene.

作者信息

Estrada O, Martinez I, Del Bas M, Salvans S, Hidalgo L A

机构信息

Surgery Hospital de Mataró, Cerretra de Cirera s/n, Barcelona, Spain.

出版信息

Tech Coloproctol. 2009 Jun;13(2):157-9. doi: 10.1007/s10151-009-0474-6. Epub 2009 May 29.

DOI:10.1007/s10151-009-0474-6
PMID:19484342
Abstract

Fournier's gangrene is a potentially fatal necrotizing fasciitis affecting the perineum and genital area. The usual treatment includes prompt surgical debridement and, in many cases, a diverting colostomy. We present two cases of Fournier's gangrene that were treated with extensive local debridement and rectal diversion with a new device for faecal matter management, avoiding the need for a colostomy.

摘要

福尼尔坏疽是一种可能致命的坏死性筋膜炎,累及会阴和生殖器区域。常规治疗包括迅速进行外科清创术,在许多情况下还包括做转流性结肠造口术。我们报告两例福尼尔坏疽患者,采用新型粪便管理装置进行广泛局部清创和直肠转流治疗,避免了结肠造口术。

相似文献

1
Rectal diversion without colostomy in Fournier's gangrene.福尼尔坏疽中行无结肠造口的直肠转流术
Tech Coloproctol. 2009 Jun;13(2):157-9. doi: 10.1007/s10151-009-0474-6. Epub 2009 May 29.
2
Contemporary non-surgical approach for faecal diversion in a case of Fournier's gangrene.当代非手术方法治疗福尼尔坏疽病例中的粪便转流
BMJ Case Rep. 2017 Dec 22;2017:bcr-2017-222282. doi: 10.1136/bcr-2017-222282.
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4
[Fournier's gangrene].[福尼尔坏疽]
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Int Braz J Urol. 2007 Jul-Aug;33(4):510-4. doi: 10.1590/s1677-55382007000400008.
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Treatment of two cases of Fournier's gangrene and review of the literature.治疗两例 Fournier 坏疽并文献复习。
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Fournier's Gangrene Does Not Spare Young Adults.福尼尔坏疽并不放过年轻人。
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WSES/GAIS/WSIS/SIS-E/AAST global clinical pathways for patients with skin and soft tissue infections.WSES/GAIS/WSIS/SIS-E/AAST 全球皮肤和软组织感染患者临床路径。
World J Emerg Surg. 2022 Jan 15;17(1):3. doi: 10.1186/s13017-022-00406-2.
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Relationship between diversional stoma and mortality rate in Fournier's gangrene: a systematic review and meta-analysis.

本文引用的文献

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Significant rectal bleeding as a complication of a fecal collecting device: report of a case.
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A non-surgical device for faecal diversion in the management of perineal burns.一种用于会阴烧伤管理中粪便改道的非手术装置。
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Contemporary non-surgical approach for faecal diversion in a case of Fournier's gangrene.当代非手术方法治疗福尼尔坏疽病例中的粪便转流
BMJ Case Rep. 2017 Dec 22;2017:bcr-2017-222282. doi: 10.1136/bcr-2017-222282.
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Fournier's Gangrene: Lessons Learned from Multimodal and Multidisciplinary Management of Perineal Necrotizing Fasciitis.福尼尔坏疽:从会阴部坏死性筋膜炎的多模式和多学科管理中学到的经验教训
Front Surg. 2017 Jul 10;4:36. doi: 10.3389/fsurg.2017.00036. eCollection 2017.
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Locally advanced adenocarcinoma of the rectum presenting with necrotising fasciitis of the perineum: successful management with early aggressive surgery and multimodal therapy.局部进展期直肠癌伴会阴部坏死性筋膜炎:早期积极手术及多模式治疗取得成功
BMJ Case Rep. 2015 Dec 16;2015:bcr2015213245. doi: 10.1136/bcr-2015-213245.
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Necrotizing Fasciitis Secondary to a Primary Suture for Anoperineal Trauma by Motorcycle Accident in a Healthy Adult.一名健康成年人因摩托车事故导致会阴部创伤行一期缝合后继发坏死性筋膜炎
Case Rep Emerg Med. 2015;2015:956156. doi: 10.1155/2015/956156. Epub 2015 Aug 10.
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World Society of Emergency Surgery (WSES) guidelines for management of skin and soft tissue infections.世界急诊外科学会(WSES)皮肤和软组织感染管理指南。
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10
Fournier's gangrene current approaches.福尼尔坏疽的当前治疗方法。
Int Wound J. 2016 Oct;13(5):713-6. doi: 10.1111/iwj.12357. Epub 2014 Aug 22.
Factors affecting mortality of Fournier's gangrene: review of 70 patients.影响福尼尔坏疽死亡率的因素:70例患者的回顾分析
ANZ J Surg. 2007 Jan-Feb;77(1-2):43-8. doi: 10.1111/j.1445-2197.2006.03975.x.
5
Septic complications after stapled hemorrhoidectomy.吻合器痔上黏膜环切术术后的感染性并发症
J Am Coll Surg. 2005 Jul;201(1):155-6. doi: 10.1016/j.jamcollsurg.2005.03.031.
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Delayed stoma formation in Fournier's gangrene.福尼尔坏疽中的延迟造口形成
Colorectal Dis. 2004 Nov;6(6):518-20. doi: 10.1111/j.1463-1318.2004.00663.x.
7
Protection of rectal anastomoses by transanal decompressive tubing.经肛门减压管对直肠吻合口的保护
Tech Coloproctol. 2003 Jul;7(2):122. doi: 10.1007/s10151-003-0023-7.
8
Outcome analysis in patients with Fournier's gangrene: report of 45 cases.福尼尔坏疽患者的预后分析:45例报告
Dis Colon Rectum. 2003 May;46(5):649-52. doi: 10.1007/s10350-004-6626-x.
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Complications after stapled hemorrhoidectomy: can they be prevented?吻合器痔切除术的并发症:能否预防?
Tech Coloproctol. 2002 Sep;6(2):83-8. doi: 10.1007/s101510200018.
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Management of Fournier's gangrene: an eleven year retrospective analysis of early recognition, diagnosis, and treatment.福尼尔坏疽的管理:对早期识别、诊断和治疗的十一年回顾性分析
Am Surg. 2002 Aug;68(8):709-13.