Fournier坏疽23例报告

目的:探讨Fournier坏疽的诊断治疗措施。方法:回顾性分析23例Fournier坏疽的诊断和治疗方法。23例患者外阴均红肿、疼痛,并迅速阴囊坏疽,并发不同程度的阴茎、肛周、会阴、腹股沟、下肢坏疽。23例患者分别采取早期清创术,切开引流,抗炎及高压氧治疗。Ⅱ期有11例行阴囊成形术,7例行阴茎阴囊植皮术,2例阴茎坏死者行阴茎切除术后尿道外口成形术。1例行膀胱造瘘术,1例行结肠造瘘术。结果:20例痊愈,3例死亡。结论:Fourn ier坏疽病情凶险,早期诊断、外科综合治疗是治愈的关键。

Management of Fournier's gangrene:A report of 23 cases

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,inguina 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.