Fournier坏疽临床诊治分析  

Clinical Diagnosis and Treatment Analysis of Fournier Gangrene

作　　者：王吉 徐靖[1] Wang Ji(Tianjin Key Laboratory of General Surgery in construction,Department of General Surgery,Tianjin Union Medical Center,Tianjin 300121)

机构地区：[1]天津市人民医院普通外科,天津300121

出　　处：《黑龙江医药》2024年第5期1012-1016,共5页Heilongjiang Medicine journal

基　　金：天津市医学重点学科(专科)建设项目资助(编号:TJYXZDXK-058B);天津市自然科学基金(编号:21JCYBJC01070);北京科创医学发展基金(编号:KC2021-JX-0186-93);天津市卫生健康委员会中医中西医结合科研重点课题(编号:2023056)。

摘　　要：目的:探讨Fournier坏疽的诊断和外科治疗策略。方法:回顾性分析天津市人民医院普通外科2017年1月—2023年1月确诊为Fournier坏疽的患者的临床病历资料,总结其临床表现、诊断治疗及预后信息。结果:本次研究共纳入24例患者,男性19例,女性5例,坏死性筋膜炎实验室危险性指标(LRINEC)评分大于6分的患者6例,所有患者入院后行急症手术或抗感染等治疗,1例患者术后死亡,死因为多脏器功能衰竭,其余患者均康复出院。结论:腹部CT检查是诊断Fournier坏疽的主要依据,早期正确的诊断是关键,尽早手术清创,特别是封闭式负压吸引技术能显著提高Fournier坏疽的临床治疗效果。Objective:To investigate the diagnosis and surgical treatment of Fournier’s gangrene.Methods:The clinical medical records of patients diagnosed with Fournier gangrene in the General Surgery Department from January 2017 to January 2023 were retrospectively analyzed,and their clinical manifestations,diagnosis,treatment and prognosis information were summarized.Results:A total of 24 patients,19 males and 5 females,were included in this study.The laboratory risk indicator for necrotizing fasciitis(LRINEC)score was greater than 6 in 6 patients,all patients were treated with emergency operation or anti-infection therapy.One patient died after operation due to multiple organ dysfunction syndrome.Conclusion:Abdominal CT examination is the main basis for the diagnosis of Fournier’s gangrene.Early and accurate diagnosis is crucial.Early surgical debridement,especially the vacuum sealing drainage technique,can significantly improve the clinical treatment effect of Fournier’s gangrene.

关 键 词：FOURNIER坏疽 坏死性筋膜炎 治疗 预后 

分 类 号：R753[医药卫生—皮肤病学与性病学] R634[医药卫生—临床医学]