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目的总结阴囊坏疽的诊断和治疗经验。方法1991年1月至2006年6月诊治阴囊坏疽4例,患者年龄25-62岁,平均48岁。伴有肛周脓肿1例;Ⅱ型糖尿病1例。4例阴囊渗出物细菌培养3例阳性。4例患者均采用早期局部坏死组织清除,同时给予全身抗感染及支持治疗的综合疗法。1例行植皮术。结果4例患者均治愈,3例患者创面愈合良好,1例植皮后愈合。结论阴囊坏疽治疗应以局部清创联合大剂量抗生素及全身支持治疗,并注意原发病的治疗。
Objective To summarize the diagnosis and treatment of scrotal gangrene. Methods January 1991 to June 2006 diagnosis and treatment of scrotal gangrene in 4 cases, patients aged 25-62 years, mean 48 years. Accompanied by perianal abscess in 1 case; type 1 diabetes in 1 case. 4 cases of scrotal exudate bacterial culture positive in 3 cases. All 4 patients were treated with early local necrotic tissue removal and systemic anti-infective and supportive therapies. 1 case of skin graft. Results 4 patients were cured, 3 patients wound healing well, 1 case of skin healed. Conclusion Scrotal gangrenous treatment should be combined with local debridement and high-dose antibiotics and systemic supportive care, and pay attention to the treatment of primary disease.