保留皮肤的方法在 Fournier 坏疽的治疗中的应用：来自一家三级医疗机构的初始组织学证据和结果。
Skin-sparing approach in the management of Fournier's gangrene: the initial histological evidence and results of a tertiary health-care center.
机构信息
Department of General Surgery, Yuksek Ihtisas University Affiliated Medical Park Ankara Private Hospital, Ankara, Turkey.
Department of Urology. Ankara, Yuksek Ihtisas University Affiliated Medical Park Ankara Private Hospital, Ankara, Turkey.
出版信息
ANZ J Surg. 2022 Jan;92(1-2):128-131. doi: 10.1111/ans.17387. Epub 2021 Nov 25.
BACKGROUND
To report the initial histological evidence on the feasibility of the skin-sparing approach in the treatment of Fournier's gangrene.
METHODS
We retrospectively reviewed the clinical data and the tissue blocks obtained from patients who had undergone debridement in a tertiary healthcare center by a urologist and a general surgeon.
RESULTS
The histological review revealed the prevalence of the intact epidermal layers in the debrided tissues involving necrosed subcutaneous parts. Clinical results of our cohort were compatible with the contemporary series.
CONCLUSION
We can propose that the skin parts without macroscopic necrosis can be spared in the initial debridement in the treatment of Fournier's gangrene, at least in the first debridement. The skin-sparing approach may provide easier and primary closure of the wound without compromising surgical safety in Fournier's gangrene treatment.
背景
报告在治疗 Fournier 坏疽中保留皮肤方法的初步组织学证据的可行性。
方法
我们回顾性地审查了在三级医疗中心由泌尿科医生和普通外科医生进行清创术的患者的临床数据和组织块。
结果
组织学检查显示，在涉及坏死皮下部分的清创组织中，完整的表皮层普遍存在。我们队列的临床结果与当代系列一致。
结论
我们可以提出，在 Fournier 坏疽的初始清创术中，可以保留没有肉眼坏死的皮肤部分，至少在第一次清创术中可以保留。在 Fournier 坏疽的治疗中，保留皮肤的方法可以在不影响手术安全性的情况下，更轻松地进行初次清创和伤口的一期闭合。
Zotero 插件