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Fournier坏疽的解剖学基础及其临床意义

格桑次登 李新 李少勇 陈丹 潘进洪 熊恩庆 宋波 周占松

局解手术学杂志2012,Vol.21Issue(3):281-282,2.
局解手术学杂志2012,Vol.21Issue(3):281-282,2.

Fournier坏疽的解剖学基础及其临床意义

Anatomic basis of Fournier gangrene and its clinical significance

格桑次登 1李新 2李少勇 3陈丹 4潘进洪 2熊恩庆 2宋波 2周占松2

作者信息

  • 1. 西藏武警总队医院泌尿外科,西藏,拉萨,850007
  • 2. 第三军医大学西南医院全军泌尿外科研究所,重庆,400038
  • 3. 解放军拉萨总医院泌尿外科,西藏,拉萨,850007
  • 4. 成都市第七人民医院泌尿外科,四川,成都,610000
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摘要

Abstract

Objective To analyze the anatomic characteristics of Fournier gangrene and to provide references in clinics. Methods The clinical data of 21 patients with Fournier gangrene from January 1997 to June 2011 were reviewed and discussed combined with literature a-nalysis. Results One ( 1/21, 4.76% ) patient was died due to multiple organ failure induced by septicopyemia. Coexisting diabetes melli-tus was found in three patients ( 3/21, 14. 29% ). The infection of Fournier gangrene was extended along the superficial fascia in 17 patients ( 17/21, 80. 95% ) with 1 patient ( 1/21, 4. 76 % ) experiencing deep fascia infection. The most commonly found bacteria were streptococ-cal species, escherichia coli, staphylococcus, bacteroides, clostridium, et al. More than two organisms were cultured in 6 patients ( 6/21, 28. 57% ). Conclusion Familiarity with the anatomic and path physiological characteristics of Fournier gangrene is important in the diagnosis and treatment of Fournier gangrene.

关键词

Fournier坏疽/会阴/解剖学

Key words

Fournier gangrene/ perineum/ anatomy

分类

医药卫生

引用本文复制引用

格桑次登,李新,李少勇,陈丹,潘进洪,熊恩庆,宋波,周占松..Fournier坏疽的解剖学基础及其临床意义[J].局解手术学杂志,2012,21(3):281-282,2.

局解手术学杂志

OACSTPCD

1672-5042

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