福尼尔坏疽负压清创治疗并阴囊重建一例  

Threatment of Fournier's gangrene with debridement,vacuum-sealing drainage,and scrotal reconstruction:a case report and literature review

作　　者：辜祖玄 姚海军[2] 潘惟昕[2] 郑大超[2] 谢敏凯 万祥[2] 倪剑书 曾文锋 王忠[2] GU Zu-xuan;YAO Hai-jun;PAN Wei-xin;ZHENG Da-chao;XIE Min-kai;WAN Xiang;NI Jian-shu;ZENG Wen-feng;WANG Zhong(Department of Urology,Hainan Western Central Hospital,Danzhou 571799,Hainan,CHINA;Department of Urology,the Ninth People’s Hospital Affiliated to Shanghai Jiaotong University School of Medicine,Shanghai 200011,CHINA)

机构地区：[1]海南西部中心医院泌尿外科,海南儋州571799 [2]上海交通大学医学院附属第九人民医院泌尿外科,上海200011

出　　处：《海南医学》2024年第11期1654-1657,共4页Hainan Medical Journal

基　　金：海南省卫生健康行业科研项目(编号:21A200155)。

摘　　要：福尼尔(Fournier)坏疽是一种罕见且进展迅速的生殖器和会阴组织坏死性筋膜炎,该病起病急、病程短、发展快,严重者向盆腔和下腹壁蔓延,病死率高,为泌尿生殖系统的急重症之一。早期治疗是防治Fournier坏疽的关键。Fournier坏疽治疗有清创后缝合、重建和负压吸引等治疗方式。本病例通过VSD负压吸引以及局部清创缝合,应用常规抗生素的方式进行治疗,效果显著,预后良好。Fournier's gangrene,an uncommon and swiftly advancing necrotic fasciitis affecting the genital and perineal tissues,exhibits a rapid onset,brief duration,and swift progression.In severe instances,the condition extends to the pelvic cavity and lower abdominal wall,resulting in a high mortality rate.It stands as one of the acute and severe urogenital disorders.Timely commencement of treatment is paramount in preventing and managing the disease.The therapeutic approaches encompass debridement and suturing,reconstruction,and negative pressure suction.This paper presents a case study on the diagnosis and management of a patient with Fournier's gangrene by vacuum-sealing drainage(VSD),local debridement and suturing,and conventional antibiotics,alongside a literature review,aiming to enhance the clinical workforce's awareness of Fournier's gangrene.

关 键 词：福尼尔坏疽 负压封闭引流技术 清创 阴囊重建 

分 类 号：R69[医药卫生—泌尿科学]