封闭式负压引流技术辅助治疗阴茎、阴囊坏疽4例临床分析

发布时间：2018-02-04 03:00

本文关键词： 阴茎、阴囊坏疽 Fournier坏疽封闭式负压引流　出处：《中华男科学杂志》2017年03期 　论文类型：期刊论文

【摘要】：目的:通过分析总结封闭式负压引流技术辅助治疗阴茎、阴囊坏疽的临床疗效,探讨该类疾病的最佳治疗方法。方法:收集整理2015年1月至2016年6月,收治的4例阴茎、阴囊坏疽患者的临床诊治资料,回顾分析其治疗过程中配合使用封闭式负压引流技术的方法及其疗效。4例患者均早期行广泛、彻底的阴囊、阴茎坏疽清创术,并静脉应用二联广谱抗生素,清创后为充分创面引流,应用封闭式负压引流(VSD),待创面清洁后,予以创面缝合。结果:4例患者经配合使用封闭式负压引流技术后,坏疽创面引流更加充分,阴囊、阴茎坏疽范围快速局限化,未出现睾丸坏死情况。4例患者均在坏疽创面清洁后,二期缝合,创面顺利愈合后出院。3个月后随访,局部创面愈合良好,无复发。结论:应用封闭式负压引流冲洗技术配合早期行广泛、彻底清创可有效促进坏疽范围的局限化,显著降低换药频率和缩短患者住院周期,是治疗阴茎阴囊坏疽的极为有效的辅助治疗手段。
[Abstract]:Objective: to summarize the clinical effect of closed negative pressure drainage in the treatment of gangrene of penis and scrotum. Methods: from January 2015 to June 2016, 4 cases of penis and scrotal gangrene were collected. Methods of combined use of closed negative pressure drainage technique and its curative effect in the treatment were retrospectively analyzed. Extensive and thorough debridement of scrotum and penile gangrene was performed in the early stage in 4 patients and two broad-spectrum antibiotics were used intravenously. After debridement, the wound was drained with closed negative pressure, and the wound was sutured after the wound was cleaned. Results 4 patients were treated with closed negative pressure drainage. Gangrene wound drainage was more adequate, scrotal gangrene, penis gangrene quickly localized, no testicular necrosis occurred in 4 patients after gangrene wound cleaning, secondary suture. The wound healed smoothly and discharged from hospital. 3 months later, the wound healed well and no recurrence occurred. Conclusion: the technique of closed negative pressure drainage and washing was used widely in the early stage. Thorough debridement can effectively promote the localization of gangrene, reduce the frequency of dressing change and shorten the hospitalization period of patients. It is a very effective adjuvant treatment for gangrene of penis and scrotum.
【作者单位】：第三军医大学大坪医院野战外科研究所泌尿外科;
【分类号】：R699.8
【正文快照】： 阴茎、阴囊坏疽(Fournier坏疽)又称阴茎、阴囊感染性坏疽性筋膜炎,具有急性发作以及病情进展迅速等特征[1]。若处理不及时或不当,极易引起局部皮肤和皮下组织感染、坏死,并引起患者发生感染性休克,严重时会导致患者死亡[2]。传统治疗策略是:早期、及时的清创、抗感染、营养对

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