Clinical Analysis of 22 Patients with Perianal Necrotizing Fasciitis_CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Authors：

 路瑶 , 袁鹏 ,  李春雨 , 李羽西 , 袁鹏 , 林树森

中国医科大学附属第四医院肛肠外科（辽宁沈阳 110032）;

Corresponding author：

李春雨, Email: lcy133000@163.com

Keywords：

坏死性筋膜炎; 临床特点; 诊断; 治疗

DOI：

10.7507/1007-9424.20140244

Video：

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Abstract Full text Figures/Tables Video References Cited by

目的总结肛周坏死性筋膜炎（PNF）的临床特点、诊断及治疗方法。方法回顾性分析我院肛肠外科2007年1月至2012年12月期间收治的22例PNF患者的临床资料。结果全部病例均行手术治疗，术中彻底清创，术后给予抗炎、对症、支持治疗。痊愈18例，死亡4例。痊愈病例随访6个月未见复发。结论 PNF早期临床表现无特异性，诊断主要依据临床表现及相关影像学检查，治疗以手术为主，早期诊断，及时治疗，是治愈PNF、降低死亡率的关键。

Citation： 路瑶, 袁鹏, 李春雨, 李羽西, 袁鹏, 林树森. Clinical Analysis of 22 Patients with Perianal Necrotizing Fasciitis. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2014, 21(8): 1016-1018. doi: 10.7507/1007-9424.20140244 Copy

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9.	Ersay A, Yilmaz G, Akgun Y, et al. Factors affecting mortality of Fournier's gangrene: review of 70 patients[J]. ANZ J Surg, 2007, 77(1-2): 43-48.
10.	Sherman J, Solliday M, Paraiso E, et al. Early CT findings of Fournier's gangrene in a healthy male[J]. Clin Imaging, 1998, 22(6): 425-427.
11.	Wysoki MG, Santora TA, Shah RM, et al. Necrotizing fasciitis: CT characteristics[J]. Radiology, 1997, 203(3): 859-863.
12.	Laor E, Palmer LS, Tolia BM, et al. Outcome prediction in patients with Fournier's gangrene[J]. J Urol, 1995, 154(1): 89-92.
13.	Subrahmanyam M, Ugane SP. Honey dressing beneficial in treatment of Fournier's gangrene[J]. Indian J Surg, 2004, 66(2): 75-77.
14.	Capelli-Schellpfeffer M, Gerber GS. The use of hyperbaric oxygen in urology[J]. J Urol, 1999, 162(3 Pt 1): 647-654.

1. Smith GL, Bunker CB, Dinneen MD. Fournier's gangrene[J]. Br J Urol, 1998, 81(3): 347-355.
2. Pawłowski W, Wroński M, Krasnodebski IW. Fournier's gangrene[J]. Pol Merkur Lekarski, 2004, 17(97): 85-87.
3. 李春雨.肛肠病学[M].北京:高等教育出版社, 2013: 133-135.
4. 李春雨.会阴部坏死性筋膜炎早期诊断与处理[J].国际外科学杂志, 2008, 35(11): 729-731.
5. Comín Novella L, del Val Gil JM, Oset García M. Fournier gangrene: presentation of 6 cases with no mortality[J]. Cir Esp, 2008, 84(1): 28-31.
6. Koukouras D, Kallidonis P, Panagopoulos C, et al. Fournier's gangrene, a urologic and surgical emergency: presentation of a multi-institutional experience with 45 cases[J]. Urol Int, 2011, 86(2): 167-172.
7. Safioleas M, Stamatakos M, Mouzopoulos G, et al. Fournier's gangrene: exists and it is still lethal[J]. Int Urol Nephrol, 2006, 38(3-4): 653-657.
8. Morpurgo E, Galandiuk S. Fournier's gangrene[J]. Surg Clin North Am, 2002, 82(6): 1213-1224.
9. Ersay A, Yilmaz G, Akgun Y, et al. Factors affecting mortality of Fournier's gangrene: review of 70 patients[J]. ANZ J Surg, 2007, 77(1-2): 43-48.
10. Sherman J, Solliday M, Paraiso E, et al. Early CT findings of Fournier's gangrene in a healthy male[J]. Clin Imaging, 1998, 22(6): 425-427.
11. Wysoki MG, Santora TA, Shah RM, et al. Necrotizing fasciitis: CT characteristics[J]. Radiology, 1997, 203(3): 859-863.
12. Laor E, Palmer LS, Tolia BM, et al. Outcome prediction in patients with Fournier's gangrene[J]. J Urol, 1995, 154(1): 89-92.
13. Subrahmanyam M, Ugane SP. Honey dressing beneficial in treatment of Fournier's gangrene[J]. Indian J Surg, 2004, 66(2): 75-77.
14. Capelli-Schellpfeffer M, Gerber GS. The use of hyperbaric oxygen in urology[J]. J Urol, 1999, 162(3 Pt 1): 647-654.

CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Clinical Analysis of 22 Patients with Perianal Necrotizing Fasciitis

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