Fournier’s Gangrene 치료 경험과 예후 인자 분석
The Prognostic Factors and Severity Index in Fournier’s Gangrene
김광민, 성승훈, 김익용, 류훈, 원달연,
소속 상세정보
김광민 ( Kim Kwang-Min )
연세대학교 원주의과대학 외과학교실
성승훈 ( Seong Seung-Hoon )
연세대학교 원주의과대학 외과학교실
김익용 ( Kim Ik-Yong )
연세대학교 원주의과대학 외과학교실
류훈 ( Ryu Hoon )
연세대학교 원주의과대학 외과학교실
원달연 ( Won Dal-Yeon )
연세대학교 원주의과대학 외과학교실
KMID : 0356720100260010029
Abstract
Purpose: Fournier’s disease is polymicrobial necrotizing fasciitis of the perineal, perianal, or genital areas. The objective of this study was to investigate patients with Fournier’s gangrene and to determine risk factors that affect mortality.
Methods: Fournier’s disease is polymicrobial necrotizing fasciitis of the perineal, perianal, or genital areas. The objective of this study was to investigate patients with Fournier’s gangrene and to determine risk factors that affect mortality.
Results: The mean age of patients was 52.8±14.4 yr, and the male-to-female ratio was 25:2. Among the predisposing factors, diabetes mellitus was the most common (n=8, 29.6%). The most common infection source was anorectal (n=16, 59.3%). Sepsis on admission was detected in 16 cases (59.3%). Four patients died during treatment, for an overall mortality of 14.8%. A logistic regression test showed a Fournier’s gangrene severity index greater than 9 and sepsis on admission to be prognostic factors.
Conclusion: The mortality rate was higher in patients with sepsis on admission and with a Fournier’s gangrene severity index greater than nine.
키워드
푸르니에 괴저; 푸르니에 괴저의 중등도; 예후인자
Fournier’s gangrene; Fournier’s gangrene severity index; Prognostic factors
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