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目的:总结诊疗Fournier坏疽的经验,对评估其预后的常用评分系统进行比较,寻找最佳的评估工具。方法:回顾性分析2004年至2014年间在我院确诊为Fournier坏疽并进行手术治疗患者16名。使用不同评分系统对入组病例进行预后评分,并用统计学方法对评分结果进行比较。结果:临床采用的评分系统包括FGSI、UFGSI、ACCI、s APGAR等,本研究中ACCI与UFGSI评分在死亡组与生存组中有显著差异,FGSI、s APGAR评分差异不明显,ACCI评分的ROC曲线下面积最大,标准误最小。结论:评估Fournier疽预后的评分工具ACCI、UFGSI均能对FG患者的预后做出评价,其中ACCI的敏感性、特异性更高,且容易在临床采集,是最佳的评价工具。
OBJECTIVE: To summarize the experience of diagnosing Fournier gangrene and to compare the commonly used scoring systems for assessing their prognosis to find the best assessment tools. Methods: A retrospective analysis of 16 patients diagnosed with Fournier gangrene and surgery in our hospital from 2004 to 2014 was performed. Different scoring systems were used to assess the prognosis of patients in the group, and statistical methods were used to compare the scoring results. Results: The clinical scoring system included FGSI, UFGSI, ACCI, APGAR, etc. The ACCI and UFGSI scores in the study were significantly different between the death group and the survival group. The FGSI and s APGAR scores were not significantly different. The ACCI score ROC curve Under the largest area, the smallest standard error. CONCLUSIONS: The ACCI and UFGSI, a scoring tool for evaluating the prognosis of Fournier’s gangrene, can all evaluate the prognosis of patients with FG. The ACCI is the best evaluation tool for its sensitivity and specificity and is easy to collect clinically.