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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 porous negative pressure drainage in the treatment of Fournier gangrene and to summarize the diagnosis and treatment methods. Methods: From January 2005 to April 2015 in our hospital, 3 cases of Fournier scrotum gangrene were treated in our hospital. The experience of treatment and review of the related literature were reviewed. Results: Two patients were treated with scrotal necrosis debridement and postoperative porous negative pressure drainage. Patients with bilateral scrotum normal size, scrotal granulation tissue, exudate and necrosis gradually subsided. Follow-up after 1 month, scrotum wound healing, has not relapsed. Another patient lost his follow-up due to automatic discharge. Conclusion: The extensive scrotal necrosis tissue debridement + porous negative pressure drainage is safe and effective for the treatment of Fournier gangrene and is worth promoting.