经尿道电灼与激光治疗重度出血性放射性膀胱炎  

Transurethral cauterization or laser treatment of severe radiation induced hemorrhagic cystitis

作　　者：李纲[1] 郭震华[1] 浦金贤[1] 陈赐龄[1] 

机构地区：[1]苏州医学院附属第一医院泌尿外科,江苏苏州215006

出　　处：《临床泌尿外科杂志》1999年第3期107-108,共2页Journal of Clinical Urology

摘　　要：目的:探讨出血性放射性膀胱炎的治疗方法。方法:采用经尿道电灼与激光治疗重度出血性放射性膀胱炎12例。结果:所有患者均能迅速控制膀胱出血,疗效满意。复发3例,2例经再次电灼治愈,1例改行右肾皮肤造瘘术。结论:重度患者的治疗关键是尽早彻底清除膀胱内血块与控制活动性出血点,经尿道电灼与激光治疗是控制膀胱内活动性出血的有效方法。Purpose:To explore the treatment method of radiation induced hemorrhagic cystitis.Methods:Transurethral cauterization or laser treatment was adopted to treat 12 patients with severe radiation induced hemorrhagic cystitis.Results:The bladder bleedings were rapidly controlled by the treatment.Of 3 patients who recurred during follow up period,2 cases were successfully treated by transurethral cauterization.Conclusions:It is accepted that the key points to treat the severe radiation induced hemorrhagic cystitis were evacuation of all the clots within the bladder and quick control of active bleeding.Transurethral cauterization or laser treatment can effectively control the active bleeding within the bladder.

关 键 词：放射性 膀胱炎 出血 电灼术 激光疗法 

分 类 号：R694.305[医药卫生—泌尿科学] R818.87[医药卫生—外科学]