阴囊坏死性筋膜炎合并阴囊部尿道毁损后尿道重建1例报告  

A case report of urethral reconstruction for necrotizing fasciitis and urethral defects in the scrotal region

作　　者：段刘剑[1] 曹建伟 张林[1] 崔心刚 李超[1] Duan Liujian;Cao Jianwei;Zhang Lin;Cui Xingang;Li Chao(Department of Urology,Xinhua Hospital Afiliated to Shanghai Jiaotong University,School of Medicine,Shanghai 200092,China)

机构地区：[1]上海交通大学医学院附属新华医院泌尿外科,上海200092

出　　处：《中华泌尿外科杂志》2024年第7期554-556,共3页Chinese Journal of Urology

摘　　要：阴囊坏死性筋膜炎合并阴囊部尿道毁损的病例少见,诊治棘手,本文报道1例。该患者因排尿不畅1周、阴囊肿胀2d人院,行膀胱造瘘、手术清创、创面VSD包扎及负压吸引,术后4周创面愈合后出院。患者清创术后6个月行环形包皮带蒂皮瓣卷管重建阴囊部12cm尿道缺损,尿道重建术后3周拔除导尿管,术后5周拔除膀胱造瘘管,恢复自主排尿。尿道重建后随访近1年,排尿通畅,无尿瘘发生。Clinical cases of necrotizing fascitis and complete urethral defects in the scrotal region are rare.The diagnosis and treatment are very challenging.This article reports one case.The patient was admitted to the hospital after 1 week of poor urination and 2 days of scrotal swelling,and then underwent bladder diversion,surgical debridement,vacuum-sealing drainage,and wound closure.After four weeks,the wound healed and the patient was discharged.Six months later after surgery,scrotal urethral reconstruction was performed using a circular phimosis pedicled skin flap graft to repair the 12 cm urethral defect.The urethral catheter was removed after three weeks.The bladder fistula tube was removed after 5 weeks.During the follow-up of one year,there was no occurrence of urinary fistula and urinary obstruction.

关 键 词：坏死性筋膜炎 尿道毁损 包皮带蒂皮瓣 尿道重建 

分 类 号：R699[医药卫生—泌尿科学]