出血性放射性膀胱炎的临床疗效观察  

Efficacy of different treatments of hemorrhagic radiation cystitis

作　　者：崔志刚[1] 何平[1] 马惠珍[1] 刘刚[1] 刘淳[1] 岳明[1] 

机构地区：[1]解放军第306医院泌尿外科,北京100101

出　　处：《现代泌尿外科杂志》2012年第2期188-190,共3页Journal of Modern Urology

摘　　要：目的观察不同程度出血的放射性膀胱炎采用不同的治疗方法的效果。方法根据出血严重程度放射性膀胱炎分为轻度、中度和重度。轻度:止血药物和高压氧治疗;中度:依次给予膀胱持续生理盐水冲洗、经尿道电凝止血和介入治疗;重度:经尿道电凝止血和介入治疗。中度和重度巩固治疗用高压氧和膀胱灌注透明质酸钠。结果轻度3例,2例治愈,1例1年后复发,行电凝止血。膀胱冲洗38例,9例治愈。电凝止血29例,10例治愈,2次以上电凝19例。介入治疗10例,6例治愈,4例再次电凝止血。膀胱灌注8例,随访3～8月,无1例复发。结论不同程度出血的放射线膀胱炎应采用不同的治疗方法。Objective To investigate the efficacy of hemorrhagic radiation cystitis treated with different ways.Methods 40 cases of hemorrhagic radiation cystitis treated during 2000 to 2011 were divided into three degrees according to gross hematuria.Mild patients were treated with hemostatic drugs combined with hyperbaric oxygen therapy.Moderate patients were treated with intravesical wash,transurethral electric coagulation and percutaneous emblization of both vesical arteries.Severe patients were treated with transurethral electric coagulation and percutaneous emblization of both vesical arteries.The consolidation therapy included hyperbaric oxygen therapy and intravesical instillation of cystistat.Results 2 of the 3 mild cases were cured.1 case recurred after one year and received transurethral electric coagulation.9 of 38 cases treated with intravesical wash were cured.10 of 29 cases treated with transurethral electric coagulation were cured and the other 19 received 2 or more sessions.6 of 10 cases treated with emblization were cured and the other 4 cases received transurethral electric coagulation.8 cases were treated with intravesical instillation and followed up for 3 to 8 months,and no recurrence was found.Conclusion Different degrees of hemorrhagic radiation cystitis should be treated with different ways accordingly.

关 键 词：放射性膀胱炎 治疗 出血 高压氧 止血药 膀胱灌注 

分 类 号：R737.1[医药卫生—肿瘤]