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目的 探索暴发性阴囊坏疽的治疗方法。方法 回顾分析 9例暴发性阴囊坏疽治疗方案。 9例患者均行外科清创、冲冼引流、抗感染等治疗 ,其中 4例感染广泛蔓延的患者清创术后 ,采用U形多孔双向引流管引流。 3例外暴露的睾丸暂置于浅表腔隙中 ,二期重建阴囊回纳睾丸。结果 留置U形管引流者 ,重复清创手术的次数明显减少 ,体温及血象恢复正常的时间较普通引流显著缩短 ,术后恢复迅速。结论 暴发性阴囊坏疽的治疗仍以清创及应用抗生素为主 ,术中多毋须切除睾丸。U形多孔双向引流管在清创术后引流效果确切 ,在促进康复有明显优势
Objective To explore the treatment of fulminant scrotal gangrene. Methods Nine cases of fulminant scrotal gangrene were retrospectively analyzed. Nine patients underwent surgical debridement, irrigation and drainage, and anti-infective therapy. Among them, four patients with widespread infection were treated with debridement using a U-shaped porous bi-directional drainage tube. 3 exceptionally exposed testicles temporarily placed in the superficial lacuna, the second stage reconstruction of the scrotum to restore testis. The results of indwelling U-tube drainage who repeated debridement significantly reduced the number of times, body temperature and blood returned to normal than conventional drainage significantly shortened, postoperative recovery rapidly. Conclusions The treatment of fulminant scrotum gangrene is still mainly debridement and antibiotics, and intraoperative need of resection of the testis is eliminated. U-shaped porous two-way drainage tube after debridement drainage effect is exact, there are obvious advantages in promoting rehabilitation