Uludağ Fournier Gangreni Şiddet İndeksi’nin Fournier Gangreni’nde Prognozu Değerlendirmedeki Katkısı

Abstract

Fournier gangreni (FG), perineal, perianal ve ürogenital deri ve deri altı dokuların gangrenöz süpüratif bir hastalığıdır. Bu çalışmada kliniğimizde FG nedeniyle opere ettiğimiz hastalarımızda, Uludağ Fournier Gangreni Şiddet İndeksi (UFGSI)’ni kullanarak morbidite ve mortalitenin öngörülebilirliğini değerlendirmeyi amaçladık. Çalışmaya Ocak 2012 ile Aralık 2022 tarihleri arasında kliniğimizde FG nedeniyle ameliyat edilen ve çalışma kriterlerini karşılayan 35 hasta dahil edildi. Veriler retrospektif olarak hasta dosyaları incelenerek toplandı. 35 hastanın 10 tanesinde UFGSI skoru 9 ve üzerinde idi ve bu hastaların üçünde hastalık mortal seyretti. Skoru 9’un altında olan 25 hastadan sadece birinde mortalite görüldü. Tüm agresif tedavi seçeneklerine rağmen FG’nin mortalite oranı yüksektir. UFGSI skorlama sistemi mortalitenin güvenilir bir öngörücüsü gibi görülmektedir.

Keywords

• fournier gangreni
• fournier gangreninde mortalite
• UFGSI skoru

Ethical Statement

makale yazarlarının herhangi bir çıkar çatışması yoktur

Contribution of Uludağ Fournier Gangrene Severity Index to Evaluating Prognosis in Fournier Gangrene

Abstract

Fournier’s gangrene (FG) is a gangrenous, suppurative disease of the perineal, perianal, and urogenital skin and subcutaneous tissues. This study aimed to assess our patients who underwent FG surgery in our clinic using the Uludağ Fournier Gangrene Severity Index (UFGSI) to predict mortality and morbidity. The study included 35 patients who underwent surgery for FG in our clinic between January 2012 and December 2022 and met the study criteria. Data were collected retrospectively by reviewing patient files. The severity score was more than 9 in 10 of the 35 patients, and the disease was fatal in three of them. Only one of the 25 patients with scores below the threshold died. Despite all aggressive treatment options, FG has a high mortality rate. The UFGSI scoring system appears to be a reliable predictor of mortality.

Keywords

• Fournier’s Gangrene
• Mortality in Fournier’s Gangrene
• UFGSI Score

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