[福尼尔坏疽的治疗：23例报告]

[Management of Fournier's gangrene: a report of 23 cases].

作者信息

Qi Fei-Bo, Wubuli Mhetar, Wang Ying-Gang, Dawuti Maimaitijiang

机构信息

Third Department of Urology, Xinjiang People's Hospital, Urumqi, Xinjiang 830000, China.

出版信息

Zhonghua Nan Ke Xue. 2010 Dec;16(12):1098-100.

PMID:21348201

Abstract

OBJECTIVE

To study the clinical characteristics and treatment of Fournier's gangrene.

METHODS

We retrospectively analyzed the clinical data of 23 cases of Fournier's gangrene, all with flare and pains in the scrotum and penis and different degrees of involvement of the scrotum, penis, perianal area, perineum, inguinal and lower extremities. The patients were treated by early debridement, incision-drainage, anti-infection and hyperbaric oxygen therapy, respectively. Scrotoplasty was performed for 11 of the cases, penile and scrotal dermatoplasty for 7, and penile amputation and urethral fistulation for 2 with penile necrosis. One of the cases underwent suprapubic cystostomy, and another 1 received colostomy.

RESULTS

Twenty of the patients were recovered and 3 (1 with diabetes and 1 with AIDS) died after surgery.

CONCLUSION

Fournier's gangrene is a fatal disease. Early diagnosis and timely surgical intervention are essential for the management of the disease.

摘要

目的

研究福尼尔坏疽的临床特征及治疗方法。

方法

回顾性分析23例福尼尔坏疽患者的临床资料，所有患者均有阴囊和阴茎红肿、疼痛，阴囊、阴茎、肛周、会阴、腹股沟及下肢不同程度受累。分别对患者进行早期清创、切开引流、抗感染及高压氧治疗。11例行阴囊成形术，7例行阴茎和阴囊皮肤成形术，2例阴茎坏死者行阴茎截肢及尿道造瘘术。1例行耻骨上膀胱造瘘术，另1例行结肠造口术。