报告特发性阴囊坏疽７例；此病多无明显诱因，是以厌氧菌为主合并其它细菌的混合感染所致。发病急骤。病死率高，死亡原因与阴囊坏疽的深度无关，而主要与坏疽范围有关。主张早期多切口切开阴囊皮肤，清除坏死组织；如病变波及腹壁、股部、髂腰部者亦应切开减张，防止感染扩散。同时抗炎、支持、对症治疗。对睾丸外露者不需植皮，可由阴囊皮肤再生覆盖创面。 Report idiopathic scrotal gangrene in 7 cases; no obvious cause of this disease, is based on anaerobic bacteria combined with other bacteria caused by mixed infections. Acute onset. High mortality, the cause of death and the depth of the scrotum gangrene has nothing to do, and mainly related to the scope of gangrene. Advocated early incision scrotum skin incision, removal of necrotic tissue; such as lesions affecting the abdominal wall, femoral, ilio waist should also cut open to prevent the spread of infection. At the same time anti-inflammatory, supportive, symptomatic treatment. Exposed testes without skin grafting, scrotal skin regeneration can cover the wound.