摘要
目的：探讨多孔负压引流在Fournier坏疽治疗中的临床价值并总结该病诊治方法。方法：回顾2005年1月-2015年4月我院收治的3例阴囊Fournier坏疽患者,总结诊疗经验并复习相关文献。结果：2例患者给予阴囊坏疽清创术,术后给予多孔负压引流术。术后患者双侧阴囊恢复正常大小,阴囊可见肉芽组织,渗液及坏死物逐渐消退。1个月后随访,阴囊创面基本愈合,至今未复发。另1例患者因自动出院失去随访。结论：广泛阴囊坏死组织清创＋多孔负压引流对治疗Fournier坏疽的效果安全有效,值得推广。
Objective： To investigate the clinical value of the porous suction drainage in Fournier gangrene and summarize the diagnosis and treatment of the disease. Method： We retrospectively studied three cases of scrotal Fournier gangrene in our hospital from January 2005 to April 2015. Meanwhile, we summarized the experience of diagnosis and treatment and reviewed related literature for scrotal Fournier gangrene. Result： Two patients accepted scrotal neereetomy plus postoperative porous negative pressure drainage. After the operation bilateral serotal tissue returned to normal size, scrotum visible granulation tissue and exudate and necrotic material gradually subsided. There was no recurrence in the two patients, and scrotal tissue healed well after one-month follow-up period. Another patient didn＇t follow up because of against advice discharge. Conclusion： Scrotal necrectomy plus postoperative porous negative pressure drainage is safe and effective for srotal Fournier gangrene and is worth popularizing.
出处
《临床泌尿外科杂志》
2015年第12期1122-1124,共3页
Journal of Clinical Urology
