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目的:探讨Fournier坏疽的诊断及治疗体会,旨在提高对本病的诊疗水平。方法:分析我院传统治疗及应用辅助封闭式负压引流(VSD)治疗Fournier坏疽患者7例临床资料。结果:7例患者中,4例按传统方法治疗,(2~4)周创面肉芽生长满意,Ⅱ期缝合愈合。3例术后应用VSD技术,(9~13)天,肉芽生长满意,创面Ⅱ期缝合愈合,阴囊外观满意,无睾丸萎缩,无死亡病例。结论:Fournier坏疽为阴囊感染性坏死性筋膜炎,早期广泛清创、充分引流是治疗Fournier坏疽成功的关键,术后辅助VSD负压引流可促进创面愈合,明显缩短治疗时间,减轻患者痛苦,是一种有效的治疗方法,值得临床推广。
Objective: To investigate the diagnosis and treatment of Fournier gangrene in order to improve the diagnosis and treatment of this disease. Methods: The clinical data of 7 cases of Fournier gangrene treated by conventional therapy and assisted closed negative pressure drainage (VSD) in our hospital were analyzed. Results: Of the 7 patients, 4 were treated according to the traditional method. The granulation wounds were satisfactorily wound after 2 to 4 weeks, and the suture was healed in stage Ⅱ. VSD was applied in 3 cases (9-13 days) after operation, satisfactory growth of granulation and wound healing in stage Ⅱ, satisfactory appearance of scrotum, no testicular atrophy and no death. Conclusion: Fournier gangrenous necrosis of the scrotum is necrotizing fasciitis with extensive debridement and early extensive debridement. Adequate drainage is the key to the successful treatment of Fournier gangrene. Postoperative assistant VSD negative pressure drainage can promote wound healing, significantly shorten the treatment time, reduce patient pain, Is an effective treatment, it is worth clinical promotion.