内镜下甲醛治疗放射性直肠炎出血的初步探讨  

Local formaldehyde application for hemorrhagic radiation proctitis

作　　者：李炎冬[1] 徐加鹤[1] 

机构地区：[1]浙江大学医学院附属第一医院肛肠外科,浙江杭州310003

出　　处：《中国内镜杂志》2007年第1期61-62,共2页China Journal of Endoscopy

摘　　要：目的探讨电子结肠镜下局部应用4%甲醛对放射性直肠炎出血的治疗作用。方法分析2003￣2006年该院收治的7例慢性放射性直肠炎出血患者的临床资料。结果7例放射性直肠炎出血患者经过内镜直视下局部应用4%甲醛后,出血明显减少,随访1个月和2个月效果满意。结论局部应用4%甲醛治疗放射性直肠炎便血短期疗效肯定,价廉,可反复进行,未发现有明显并发症,值得推广。[ Objective] To evaluate the efficacy of local formaldehyde application in hemorrhagic radiation proctitis. [Method] All patients were treated by application of 4 percent formaldehyde to the affected rectal or sigmoid areas under colon endoscope or direct vision. [Result] The study included 7 patients. 2 prostate cancer, 1 fecal cancer with local recurrence, 3 cervical cancer and 1 lung cancer with pelvic metastasis. After direct local formaldehyde application all patients＇ rectal bleedings were obvious descended. [Conclusion] Formaldehyde application is an effective economic and safety treatment for hemorrhagic radiation proetitis. In our opinion, therefore, formaldehyde application should be a primary alternative for severe hemorrhagic radiation proetitis.

关 键 词：放射性直肠炎 甲醛 便血 

分 类 号：R516.1[医药卫生—内科学]