Qi Fei-Bo, Wubuli Mhetar, Wang Ying-Gang, Dawuti Maimaitijiang
Third Department of Urology, Xinjiang People's Hospital, Urumqi, Xinjiang 830000, China.
Zhonghua Nan Ke Xue. 2010 Dec;16(12):1098-100.
To study the clinical characteristics and treatment of Fournier's gangrene.
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.
Twenty of the patients were recovered and 3 (1 with diabetes and 1 with AIDS) died after surgery.
Fournier's gangrene is a fatal disease. Early diagnosis and timely surgical intervention are essential for the management of the disease.
研究福尼尔坏疽的临床特征及治疗方法。
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。
20例患者术后康复，3例（1例糖尿病患者和1例艾滋病患者）术后死亡。
福尼尔坏疽是一种致命疾病。早期诊断及及时手术干预对本病的治疗至关重要。
