未经授权:一名患者因Fournier坏疽(FG)和并发多灶性坏死性筋膜炎(NF)被送往区域外科中心。鉴于稀有,我们决定进行系统评价,以调查FG合并多灶性NF的发生率和患病率,从而确定此类表现的治疗方法和管理方法.
未经批准:首先,讨论了这名56岁男性患者的手术治疗报告。其次,根据PRISMA指南使用Medline进行了系统审查,Scopus,和Embase数据库。搜索使用以下MeSH术语:(\“fournier\'s坏疽\”)和((坏死性筋膜炎)或(坏死性软组织感染))。一旦获得搜索结果,重复的文章被删除。标题,摘要,和文章由2位作者进行了审查。
UNASSIGNED:使用3个数据库的搜索策略显示了总共402项研究。57项研究由于重复而被删除。通过标题和摘要筛选了总共345条记录,其中115人被排除在外。审查了230项研究的资格。总共230项研究被排除;169项被排除,因为它们包括不正确的患者群体(患有FG或NF,但不是两者共同),60项研究由于不正确的研究设计而被排除在外,和1报告发生在错误的设置。
未经ASSIGNED:这突出表明,虽然是一个相对知名的,不常见的感染FG和NF在文献中有很好的记录.然而,具有并发多灶性NF的FG尚未在文献中记录。
OBJECTIVE: A patient presented to a regional surgical center with Fournier gangrene (FG) and concurrent
multifocal necrotizing fasciitis (NF). Given the rarity, it was decided to undertake a systematic
review to investigate the incidence and prevalence of FG with
multifocal NF and consequently determine the treatment and approach to management of such presentation.
METHODS: Firstly, the report of the 56-year-old male patient is discussed regarding his surgical management. Secondly, a systematic
review was undertaken according to PRISMA guidelines using MEDLINE, Scopus, and Embase databases. Searches used the following MeSH terms: (\"fournier\'s gangrene\") AND ((necrotising fasciitis) OR (necrotising soft tissue infection)). Once the search results were obtained, duplicate articles were removed. Titles, abstracts, and articles were reviewed by 2 authors.
RESULTS: The search strategy using the 3 databases revealed a total of 402 studies. Fifty-seven studies were removed due to duplication. A total of 345 records were screened via title and abstract, of which 115 were excluded. Two hundred and thirty studies were reviewed for eligibility. A total of all 230 studies were excluded; 169 were excluded as they included the incorrect patient population (patients suffered from FG or NF, but not both collectively), 60 studies were excluded due to incorrect study designs, and 1 report occurred in the wrong setting.
CONCLUSIONS: This highlights that while being a relatively known, uncommon infection both FG and NF are well documented separately within the literature. However, FG with concurrent
multifocal NF has not been documented within the literature.