[福尼尔坏疽：我们的经验]
[Fournier gangrene: our experience].
作者信息
Jiménez Verdejo J, Cózar Ibáñez A, Moreno Jiménez J, Del Olmo Escribano M, Pastor Cruz F, Garrido Salas M A
机构信息
Servicio de Urología, del Hospital General de Especialidades Ciudad de Jaén, España.
出版信息
Arch Esp Urol. 1998 Dec;51(10):1041-4.
OBJECTIVE
Fournier's gangrene is a necrotizing fasciitis involving the genitoperineal region caused by the synergistic action of aerobic and anaerobic pathogens. It is a rapidly progressing disease and carries a high mortality. Our experience with Fournier's gangrene is presented.
METHODS
Herein we describe 11 cases of Fournier's gangrene that were diagnosed and treated from 1991 to 1996. The most important predisposing factor was diabetes mellitus and the most common triggering factor was a perianal condition.
RESULTS/CONCLUSIONS: The survival rate was high (81%) and can be ascribed to early diagnosis, aggressive and rapid surgical treatment with debridement, resection of the necrotic areas, drainage, simultaneous broad spectrum antibiotic therapy and frequent local treatment.
目的
福尼尔坏疽是一种由需氧菌和厌氧菌协同作用引起的累及生殖会阴区的坏死性筋膜炎。它是一种进展迅速的疾病，死亡率很高。本文介绍我们治疗福尼尔坏疽的经验。
方法
本文描述了1991年至1996年诊断和治疗的11例福尼尔坏疽病例。最重要的易感因素是糖尿病，最常见的诱发因素是肛周疾病。
结果/结论：生存率较高（81%），这可归因于早期诊断、积极快速的手术治疗，包括清创、坏死区域切除、引流、同时进行广谱抗生素治疗以及频繁的局部治疗。
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