放射性膀胱炎的诊断与外科治疗

Diagnosis and surgical management of radiocystitis

目的 :探讨放射性膀胱炎的诊断与外科治疗。方法 :报告 10例外院误诊为膀胱肿瘤的放射性膀胱炎的诊治情况。 7例放射性膀胱炎引起大量血尿的患者行外科手术治疗。 7例均行膀胱内血块清除及膀胱造口术 ,其中 1例加膀胱动脉栓塞术(用介入法 ) ;另 1例后改行膀胱腹壁造口术。结果 :10例均排除膀胱肿瘤 ,诊断为放射性膀胱炎。 7例膀胱大出血得到控制。随访 1～ 6年 ,本组 10例均健在。结论 :有盆腔放疗病史者 (特别是宫颈癌 )引起膀胱病变应考虑放射性膀胱炎的可能 ,并作相应处理。

Objective:To investigate the diagnosis and surgical management of radiocystitis. Methods: Ten patients with radiocystitis misdiagnosed as cystic tumors were treated in out our hospital. Seven patients were operated on for their severe hemoturia caused by radiocystitis. The clots in the bladders of the 7 patients were removed and their cystostomies were performed. A cystic arterial embolism was performed in one of them (using intervention),and a ventrocystostomy was done later in another patient. Results: Cystic tumors were ruled out in the patients and they were all diagnosed as radiocystitis. Seven patients with severe hematuria were controlled. All the patients were still living and well after 1 to 6 years' follow up. Conclusion: The patients who had a history of radiotherapy in pelvis (especially cervical carcinoma) have caused cystipathy, the possibility of radiocystitis should be considered and treated accordingly. \[