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出 处:《中国现代医生》2016年第10期164-168,共5页China Modern Doctor
基 金:浙江省医药卫生科技计划项目(2016KYA036)
摘 要:放射性肠炎是盆腹腔及腹膜后恶性肿瘤经过放射治疗后引起的肠道并发症,可累及肠道任何节段包括小肠、结肠和直肠。临床表现为腹痛、腹泻、黏液血便,严重者甚至出现肠梗阻、肠穿孔、肠瘘等。该病以预防为主,一旦出现症状,治疗方法包括药物、高压氧、内镜及手术等,但仍缺乏统一的策略。本文就放射性肠炎的内科防治新进展进行综述。Radiation enteritis is an intestinal complication, induced by radiotherapy for abdominal cavity, pelvic or retroperitoneal malignant tumors, which may involve any segment of the intestinal including the small intestine, colon and rectum. The main clinical manifestations are abdominal pain, diarrhea, mucous bloody stool. Severe cases appear intestinal obstruction, perforation and fistula. Prevention is the main measures, once symptoms appear, the treatment mainly relies on drug, hyperbaric oxygen, endoscopy and surgery. But there have been no standardized therapeutic strategies. Here is to make a review of the progress of medical prevention and treatment of radiation enteritis.
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