临床普外科电子杂志 ›› 2025, Vol. 13 ›› Issue (3): 24-.

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Fournier 坏疽的病因、病理与诊疗进展

  

  1. 新疆医科大学第一附属医院 肛肠科,新疆 乌鲁木齐 830013
  • 出版日期:2025-07-01 发布日期:2025-11-20

Progress in etiology, pathology, diagnosis and treatment of Fournier gangrene

  1. Anorectal Department of The First Affiliated Hospital of Xinjiang Medical University, Xinjiang Urumqi 830013, China
  • Online:2025-07-01 Published:2025-11-20

摘要:

Fournier 坏疽属于外科急危重症疾病,往往伴随全身性并发症,常见的系统性损害包括脓毒症及多器官功能障碍,其病理生理机制涉及多重交互作用,主要与细菌毒素释放、宿主免疫失衡以及局部组织微循环障碍密切相关。此外,糖尿病、肥胖、高血压等基础疾病可加剧炎症反应,促进感染扩散。近年来,学者对其病因病理机制及治疗进行了大量研究,取得了一定的研究进展。本文对 Fournier 坏疽的相关文献及研究进行综述。

关键词: Fournier 坏疽, 病因, 临床表现, 检查

Abstract:

Fournier gangrene represents a critical surgical emergency often accompanied by systemic complications, with common systemic manifestations including sepsis and multiple organ dysfunction syndrome. Its pathophysiological mechanisms involve multifactorial interactions, primarily associated with bacterial toxin release, host immune dysregulation, and regional microcirculatory impairment. Furthermore, underlying comorbidities such as diabetes mellitus, obesity, and hypertension may exacerbate inflammatory responses, thereby facilitating infectious dissemination. Recent years have witnessed substantial research advancements in elucidating the etiopathogenesis and therapeutic strategies of this condition. Through systematic review of contemporary literature, this article provides a comprehensive synthesis of current research developments and scholarly perspectives on Fournier's gangrene.

Key words: Fournier gangrene, Etiology, Clinical manifestations, Examinations