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目的:通过分析总结封闭式负压引流技术辅助治疗阴茎、阴囊坏疽的临床疗效,探讨该类疾病的最佳治疗方法。方法:收集整理2015年1月至2016年6月,收治的4例阴茎、阴囊坏疽患者的临床诊治资料,回顾分析其治疗过程中配合使用封闭式负压引流技术的方法及其疗效。4例患者均早期行广泛、彻底的阴囊、阴茎坏疽清创术,并静脉应用二联广谱抗生素,清创后为充分创面引流,应用封闭式负压引流(VSD),待创面清洁后,予以创面缝合。结果:4例患者经配合使用封闭式负压引流技术后,坏疽创面引流更加充分,阴囊、阴茎坏疽范围快速局限化,未出现睾丸坏死情况。4例患者均在坏疽创面清洁后,二期缝合,创面顺利愈合后出院。3个月后随访,局部创面愈合良好,无复发。结论:应用封闭式负压引流冲洗技术配合早期行广泛、彻底清创可有效促进坏疽范围的局限化,显著降低换药频率和缩短患者住院周期,是治疗阴茎阴囊坏疽的极为有效的辅助治疗手段。
Objective: To summarize the clinical efficacy of closed negative pressure drainage technique in the treatment of penis and scrotal gangrene, and explore the best treatment for such diseases. Methods: The clinical data of 4 cases of penis and scrotal gangrene admitted to our hospital from January 2015 to June 2016 were collected and analyzed retrospectively. Methods of closed negative drainage and its curative effect were retrospectively analyzed. All patients underwent extensive and complete scrotal and penile gangrene debridement at the early stage and intravenous double broad spectrum antibiotics. After debridement, sufficient wound drainage was achieved, and closed negative pressure drainage (VSD) was applied. After the wound was cleaned, To be wound suture. Results: In 4 patients with closed negative pressure drainage technique, gangrene wound drainage was more adequate, and the extent of scrotum and penis gangrene was rapidly localized. There was no testicular necrosis. Four patients were gangrene wound surface cleaning, the second suture, wound healing after the discharge. Follow up after 3 months, local wound healing is good, no recurrence. Conclusion: It is an extremely effective adjuvant therapy for the treatment of penile scrotum gangrenous disease by using closed negative pressure drainage irrigation technique in combination with extensive and thorough debridement at early stage, which can effectively promote the limitation of gangrene range, significantly reduce the frequency of dressing change and shorten the hospitalization period of patients .