近十年佛尼爾氏壞疽預後因子之探討

張哲綱、林宗彥、歐建慧

國立成功大學醫學院附設醫院 泌尿科

Discussion on Prognostic Factors of Fournier’s Gangrene in Recent 10 years

Che-Kang Chang, Tsung-Yen Lin, and Chien-Hui Ou

Department of Urology, National Cheng Kung University Hospital, Tainan, Taiwan

Purpose: We studied the systemic illness and listed the types of bacterial organisms on patients who had Fournier’s Gangrene in recent 10 years to figure out the prognostic factors and potentially dreadful pathogens.

Materials and Methods: We collected the total 50 patients from 2008 to 2018 in National Cheng Kung University Hospital and analyzed the relationships between the survival and their systemic illness. We also analyzed the relationships between the survival and the bacterial organisms. By evaluating the odds ratios, we could interpret the prognostic factors for patients with Fournier’s Gangrene.

Results: We found that patients with hypertension (OR: 0.183, p=0.049) and vascular diseases (OR: 0.08, p=0.004) were the poor prognostic factors of Fournier’s Gangrene. As for the pathogen, we found that wound culture with Enteroccocus species play much important role in causing fatal disease.

Conclusions: In our single-center study, patients with vascular diseases and Enteroccocus species may be the poor prognostic factors in patients with Fournier’s Gangrene. The result was also slightly different from the result of another global region, which made its regional variation.