论文部分内容阅读
目的:探讨Fournier坏疽(fournier’s gangrene,FG)的病因、诊断要点和治疗方法,提高对该疾病的认识。方法:回顾性分析我院收治的1例FG患者的资料,并复习相关文献。结果:患者阴囊、会阴部、阴茎皮肤完全坏疽,经过积极的手术清创引流,使用足量广谱抗生素,全身支持治疗,在创面无明显炎症反应并长出新鲜肉芽组织后,行植皮术重塑阴囊、会阴部、阴茎皮肤,患者治愈出院。结论:FG病情凶险,病死率高,应早期诊断,一旦确诊应积极采取手术清创(切开)引流和广谱(敏感)抗生素治疗,如有皮肤缺损,应在创面无炎性渗出并长出新鲜肉芽组织后,及时行植皮或皮瓣转移术闭合皮肤缺损。
Objective: To investigate the etiology, diagnosis and treatment of Fournier’s Gangrene (FG) and to raise awareness of the disease. Methods: A retrospective analysis of our hospital admitted a case of FG patients, and review the relevant literature. Results: Patients with complete necrosis of the scrotum, perineum and penile skin were treated with debridement and drainage by active surgeries. With adequate broad spectrum antibiotics and systemic supportive treatment, the patients were treated with grafted skin grafts without obvious inflammatory reaction and fresh granulation tissue Plastic scrotum, perineum, penile skin, patients were cured and discharged. Conclusion: FG is dangerous and has a high mortality rate. Early diagnosis should be performed. Once the diagnosis is confirmed, surgical debridement (dissection) and broad-spectrum (sensitive) antibiotic therapy should be actively taken. If there is a skin defect, no exudative effusion should occur on the wound surface Grow fresh granulation tissue, timely skin graft or flap surgery to close the skin defect.