肛周坏死性筋膜炎12例诊治体会_CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Authors：

 贡钰霞 , 周在龙 ,  李国年

江苏省中医院肛肠科（江苏南京 210029）;

Corresponding author：

李国年, Email: liguonian_lgn@sina.com

Keywords：

肛周坏死性筋膜炎; 诊断; 治疗

DOI：

10.7507/1007-9424.20150357

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）的临床诊治体会。方法对2008年11月至2015年3月期间我院诊治的12例PNF患者的临床资料进行回顾性分析。结果本组12例患者平均住院时间35.6 d，经手术治疗后均痊愈，随访3个月均无复发。结论早期诊断、及时有效的清创手术及合理使用抗生素是治愈PNF的关键。

Citation： 贡钰霞, 周在龙, 李国年. 肛周坏死性筋膜炎12例诊治体会. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2015, 22(11): 1370-1371. doi: 10.7507/1007-9424.20150357 Copy

1.	李春雨.肛肠病学.北京:高等教育出版社, 2013:133-135.
2.	林秋, 竺平, 孙桂东, 等.肛周坏死性筋膜炎的诊治进展.世界华人消化杂志, 2010, 18(32):3428-3431.
3.	Enriquez JM, Moreno S, Devesa M, et al. Fournier's syndrome of urogenital and anorectal origin. A retrospective, comparative study. Dis Colon Rectum, 1987, 30(1):33-37.
4.	Morpurgo E, Galandiuk S. Fournier's gangrene. Surg Clin North Am, 2002, 82(6):1213-1224.
5.	Eke N. Fournier's gangrene:a review of 1726 cases. Br J Surg, 2000, 87(6):718-728.
6.	Czymek R, Hildebrand P, Kleemann M, et al. New insights into the epidemiology and etiology of Fournier's gangrene:a review of 33 patients. Infection, 2009, 37(4):306-312.
7.	Korkut M, Içöz G, Dayangaç M, et al. Outcome analysis in patients with Fournier's gangrene:report of 45 cases. Dis Colon Rectum, 2003, 46(5):649-652.
8.	Yanar H, Taviloglu K, Ertekin C, et al. Fournier's gangrene:Risk factors and strategies for management. World J Surg, 2006, 30(9):1750-1754.
9.	Unallp HR, Kamer E, Deric H, et al. Fournier's gangrene:Evaluation of 68 patients and analysis of prognostic variables. J Postgrad Med, 2008, 54(2):102-105.
10.	Wysoki MG, Santora TA, Shah RM, et al. Necrotizing fasciitis:CT characteristics. Radiology, 1997, 203(3):859-863.
11.	路瑶, 李春雨, 袁鹏, 等.肛周坏死性筋膜炎22例临床分析.中国普外基础与临床杂志, 2014, 21(8):1016-1018.
12.	李春雨.肛周坏死性筋膜炎的临床表现及处理原则.中华结直肠疾病电子杂志, 2013, 2(4):151-153.
13.	Kabay S, Yucel M, Yaylak F, et al. The clinical features of Fournier's gangrene and the predictivity of the Fournier's Gangrene Severity Index on the outcomes. Int Urol Nephrol, 2008, 40(4):997-1004.
14.	Korhonen K, Hirn M, Niinikoski J. Hyperbaric oxygen in the treatment of Fournier's gangrene. Eur J Surg, 1998, 164(4):251-255.
15.	Capelli-Schellpfeffer M, Gerber GS. The use of hyperbaric oxygen in urology. J Urol, 1999, 162(3 Pt 1):647-654.
16.	Al-Waili NS, Butler GJ, Lee BY, et al. Possible application of hyperbaric oxygen technology in the management of urogenital and renal diseases. J Med Eng Technol, 2009, 33(7):507-515.
17.	Benizri E, Fabiani P, Migliori G, et al. Gangrene of the perineum. Urology, 1996, 47(6):935-939.
18.	Mindrup SR, Kealey GP, Fallon B. Hyperbaric oxygen for the treatment of fournier's gangrene. J Urol, 2005, 173(6):1975-1977.

1. 李春雨.肛肠病学.北京:高等教育出版社, 2013:133-135.
2. 林秋, 竺平, 孙桂东, 等.肛周坏死性筋膜炎的诊治进展.世界华人消化杂志, 2010, 18(32):3428-3431.
3. Enriquez JM, Moreno S, Devesa M, et al. Fournier's syndrome of urogenital and anorectal origin. A retrospective, comparative study. Dis Colon Rectum, 1987, 30(1):33-37.
4. Morpurgo E, Galandiuk S. Fournier's gangrene. Surg Clin North Am, 2002, 82(6):1213-1224.
5. Eke N. Fournier's gangrene:a review of 1726 cases. Br J Surg, 2000, 87(6):718-728.
6. Czymek R, Hildebrand P, Kleemann M, et al. New insights into the epidemiology and etiology of Fournier's gangrene:a review of 33 patients. Infection, 2009, 37(4):306-312.
7. Korkut M, Içöz G, Dayangaç M, et al. Outcome analysis in patients with Fournier's gangrene:report of 45 cases. Dis Colon Rectum, 2003, 46(5):649-652.
8. Yanar H, Taviloglu K, Ertekin C, et al. Fournier's gangrene:Risk factors and strategies for management. World J Surg, 2006, 30(9):1750-1754.
9. Unallp HR, Kamer E, Deric H, et al. Fournier's gangrene:Evaluation of 68 patients and analysis of prognostic variables. J Postgrad Med, 2008, 54(2):102-105.
10. Wysoki MG, Santora TA, Shah RM, et al. Necrotizing fasciitis:CT characteristics. Radiology, 1997, 203(3):859-863.
11. 路瑶, 李春雨, 袁鹏, 等.肛周坏死性筋膜炎22例临床分析.中国普外基础与临床杂志, 2014, 21(8):1016-1018.
12. 李春雨.肛周坏死性筋膜炎的临床表现及处理原则.中华结直肠疾病电子杂志, 2013, 2(4):151-153.
13. Kabay S, Yucel M, Yaylak F, et al. The clinical features of Fournier's gangrene and the predictivity of the Fournier's Gangrene Severity Index on the outcomes. Int Urol Nephrol, 2008, 40(4):997-1004.
14. Korhonen K, Hirn M, Niinikoski J. Hyperbaric oxygen in the treatment of Fournier's gangrene. Eur J Surg, 1998, 164(4):251-255.
15. Capelli-Schellpfeffer M, Gerber GS. The use of hyperbaric oxygen in urology. J Urol, 1999, 162(3 Pt 1):647-654.
16. Al-Waili NS, Butler GJ, Lee BY, et al. Possible application of hyperbaric oxygen technology in the management of urogenital and renal diseases. J Med Eng Technol, 2009, 33(7):507-515.
17. Benizri E, Fabiani P, Migliori G, et al. Gangrene of the perineum. Urology, 1996, 47(6):935-939.
18. Mindrup SR, Kealey GP, Fallon B. Hyperbaric oxygen for the treatment of fournier's gangrene. J Urol, 2005, 173(6):1975-1977.

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